Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prosport Physical Therapy Professionals Inc

Organization Specialist · NPI 1649223694

Prosport Physical Therapy Professionals Inc provides Specialist services in Costa Mesa, California. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2777 Bristol St Ste B
Costa Mesa, CA 92626-5997
Phone: (949) 250-1112
Fax: (949) 250-1401
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1649223694
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bobby Ismail — President · (209) 353-1988
Other names Prosport Physical Therapy Inc
NPI enumeratedMay 19, 2006
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023
Mailing addressPo Box 14155, Orange, CA 92863-1555

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