Prosport Physical Therapy Professionals Inc

A Medicare group practice based in Orange, CA: 6 NPIs enrolled under one PECOS associate control ID (PAC ID 0749510634), with 108 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
0749510634The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Physical/Occupational Therapy Group in Private Practice
Enrolled in
CA
Enrollments
1
Group size
93 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
15In 14 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20200304001273 CA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1073170437

NPIs in this group 6

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 108

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (107) or whom Care Compare lists as members (93).

Sources for this page