| 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 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649458225 PECOS PAC ID: 0749367928 Enrollment ID: I20080411000664 |
| Provider Name | Scott Moncrief |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |