Prosport Physical Therapy Professionals Inc
NPI 1487648341ActiveOrganization· Physical Therapist· Rancho Palos Verdes, CA
Physical Therapist in Rancho Palos Verdes, California, registered in NPPES in September 2005, part of Palos Verdes Rehabilitation Clinic Inc. The authorized official on file is Bobby Ismail, President.
Overview
| NPI | 1487648341 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Palos Verdes Rehabilitation Clinic Inc |
| NPI issued | Sep 7, 2005 |
| Last updated in NPPES | Dec 6, 2023 |
| Certified by provider | Dec 6, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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