Organization Active NPI

Sportspros, Inc.

  • Physical Therapist
  • Claremont, CA
National Provider Identifier
1043429384
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32957 Issued in CA
Legal business name
SPORTSPROS, INC.
Practice address
928 W Foothill Blvd
Claremont, CA 91711-3303
Phone
(909) 447-5724
Fax
(909) 447-5734
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Guillermo Escalante, DSC, MBA, ATC, CSCSNPI 1609884246
Title
President
Phone
(909) 447-5724

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 25345 CA
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 32957 CA Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X AT9150 CA
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 089802433 CA

Addresses

Primary practice location

928 W Foothill Blvd
Claremont, CA 91711-3303

Mailing address

928 W Foothill Blvd
Claremont, CA 91711-3303
Phone (909) 447-5724

National Provider Directory

National Provider Directory

Locations

934 W Foothill Blvd
Claremont, CA 91711
Phone (909) 447-5724

928 W Foothill Blvd
Claremont, CA 91711
Phone (909) 447-5724

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338768000000",
    "number": "1043429384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113303",
            "telephone_number": "909-447-5724",
            "fax_number": "909-447-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 W FOOTHILL BLVD",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917113303",
            "telephone_number": "909-447-5724",
            "fax_number": "909-447-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSPROS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2012-06-04",
        "status": "A",
        "authorized_official_last_name": "ESCALANTE",
        "authorized_official_first_name": "GUILLERMO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-447-5724",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSC, MBA,  ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25345",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "32957",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "AT9150",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "089802433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Claremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.