Performance Physical Therapy and Sports Lab Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT37989 Issued in CA

Legal business name

PERFORMANCE PHYSICAL THERAPY AND SPORTS LAB INC.

Practice address

25231 Paseo de Alicia Ste 110
Laguna Hills, CA 92653-4615

Phone

(949) 716-4889

Fax

(949) 716-4963

NPI assigned

Jul 13, 2016

Last updated

Jan 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Calvin Lefebvre, DPTNPI 1851688071

Title

Owner

Phone

(949) 716-4889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Calvin Lee Lefebvre, MPT

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1851688071
  Medicare reassignment Care Compare group NPD Authorized official
• Kathleen M Beriau, DPT

  • Physical Therapist
  • Laguna Hills, CA
  • NPI 1720485543
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483660800000",
    "number": "1023461191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25231 PASEO DE ALICIA STE 110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534615",
            "telephone_number": "949-716-4889",
            "fax_number": "949-716-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25231 PASEO DE ALICIA STE 110",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926534615",
            "telephone_number": "949-716-4889",
            "fax_number": "949-716-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE PHYSICAL THERAPY AND SPORTS LAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2017-01-06",
        "status": "A",
        "authorized_official_last_name": "LEFEBVRE",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-716-4889",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT37989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Pereira
• David Gilbert Perez
• Performance Health Medical Group
• Performance Health Medical Group
• Performance Health Medical Group, Inc
• David J Perkowski, MD
• Rachel Perley-Mleynek
• Nechelle Perry
• Jenna Pestotnik, DPT
• Peter N Abas, DDS, Inc

• Specialist in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.