Prosport Physical Therapy Professionals Inc | |
26932 Oso Pkwy, Suite 260, Mission Viejo, CA 92691-5815 | |
(949) 582-8800 | |
(949) 582-5127 |
Full Name | Prosport Physical Therapy Professionals Inc |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 26932 Oso Pkwy, Mission Viejo, California |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922031731 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
Provider Name | Jonathan M Yeh |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1649458225 PECOS PAC ID: 0749367928 Enrollment ID: I20080411000664 |
Provider Name | Scott Moncrief |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1760415566 PECOS PAC ID: 9234386913 Enrollment ID: I20120831000386 |
Provider Name | Allison L Anady |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1447788302 PECOS PAC ID: 8022387505 Enrollment ID: I20170627003077 |
Provider Name | Alexandra Maria Reuland |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1306482575 PECOS PAC ID: 0749615722 Enrollment ID: I20200122000163 |
Mailing Address | Practice Location Address |
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Prosport Physical Therapy Professionals Inc Po Box 14155, Orange, CA 92863-1555 Ph: (714) 450-4999 | Prosport Physical Therapy Professionals Inc 26932 Oso Pkwy, Suite 260, Mission Viejo, CA 92691-5815 Ph: (949) 582-8800 |