Sofia Prorok, DPT PT CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

298065 Issued in CA

Practice address

13341 Garden Grove Blvd Ste B
Garden Grove, CA 92843-2255

Phone

(714) 750-4097

NPI assigned

Feb 12, 2020

Last updated

Feb 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1245863711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3947 VESPER CT",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605647137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13341 GARDEN GROVE BLVD STE B",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432255",
            "telephone_number": "714-750-4097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROROK",
        "first_name": "SOFIA",
        "credential": "DPT PT CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "298065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pro Foot and Ankle Clinic.Inc
• Progressive Physical Therapy Plus (Progressive Physical Therapy and Rehabilitation Inc.)
• Prohealth Partners a Medical Group
• Prohealth Partners, a Medical Group, Inc.
• Prohealth Wellness Center
• Prudent Care Management, Inc. (Sprint Physical Therapy)
• Psychfitness, Apmc
• Mayra Puentes Jaimes
• Ariana Marie Puentes
• Jocelyn Puga

• Physical Therapist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.