Prosport Physical Therapy Professionals INC

Public-record details

Address

2777 Bristol St Ste B, Costa Mesa, CA 92626

Phone

(949) 250-1112

Listed under

Physical therapy clinics, Medicare-enrolled groups (CMS)

NPI

1073170437

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Clinic/Center, Physical Therapy (261QP2000X)

Authorized official

Bobby Ismail, President

NPI first issued

May 21, 2019

Years since NPI first issued

7 years (since 2019)

NPI record last updated

Dec 6, 2023

Medicare group enrollment (CMS)

Enrolled: listed in CMS Doctors & Clinicians as Prosport Physical Therapy Professionals INC

Clinicians in the Medicare group (all specialties, CMS)

96

Physical therapists in the group at this ZIP (CMS)

23

Group Medicare assignment (CMS)

Accepts the Medicare-approved amount as payment in full

Listings under this organization name (nationwide)

4 locations

Other practice locations (NPPES)

5: Foothill Ranch, CA; San Juan Capistrano, CA; Rancho Santa Margarita, CA; Laguna Hills, CA; Rancho Palos Verdes, CA

NPI 1073170437 is active in the federal NPPES registry (CMS) with Clinic/Center, Physical Therapy as its self-reported primary taxonomy. CMS Doctors & Clinicians lists a Medicare-enrolled group of physical therapists with this name at this ZIP. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-16.

Public record, not an endorsement. This listing was compiled from public records as of 2026-10-16 and may be incomplete or out of date. Physical Therapy Index does not vet, employ, recommend or guarantee physical therapy clinics; a badge reflects only what the public record showed on that date. Confirm current details with the official record before you decide. The information on Physical Therapy Index is not medical advice and does not replace a doctor, nurse, discharge planner or other qualified professional. Do not use it to make decisions about diagnosis or treatment. If you have a medical emergency, call 911. Full disclaimer · Report an error

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Physical therapy is provided by licensed physical therapists (PT, DPT) and, under their supervision, physical therapist assistants (PTA). Confirm each therapist's license with the state physical therapy board.

View NPI 1073170437 in the official registry ↗