The Performance Lab LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

THE PERFORMANCE LAB LLC

Practice address

6920 N Dale Mabry Hwy
Tampa, FL 33614-3931

Phone

(813) 212-1120

Fax

(813) 412-8404

NPI assigned

Nov 15, 2024

Organization subpart

No

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

Authorized official

Name

Bahir L Manios

Title

Ceo

Phone

(813) 212-1120

Specialties & licenses 8

Addresses

Other names 1

• The Performance Lab Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

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

• Miguel Alejandro Lorenz, M.D.

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1306194774
  Medicare reassignment Care Compare group NPD
• David Nolen, PT, DPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1275003089
  Medicare reassignment Care Compare group NPD
• Kareem Qaisi, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tampa, FL
  • NPI 1023647377
  Medicare reassignment Care Compare group NPD
• Marissa Rae McCarthy, MD

  • Physical Medicine & Rehabilitation Physician
  • Tampa, FL
  • NPI 1437322294
  Medicare reassignment Care Compare group
• Kate Elizabeth Turchin, PT, DPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1457078545
  Medicare reassignment Care Compare group
• Elissa Lee Pally, DC

  • Chiropractor
  • Tampa, FL
  • NPI 1730616814
  Medicare reassignment NPD
• Gabriel Antonio Gonzales-Portillo, M.D.

  • Neurological Surgery Physician
  • Tampa, FL
  • NPI 1811992357
  Medicare reassignment
• Sharad I Patel, M.D.

  • Surgery Physician
  • Tampa, FL
  • NPI 1326046962
  Medicare reassignment
• Syed Hadi Shah, MD

  • Sports Medicine (Family Medicine) Physician
  • Tampa, FL
  • NPI 1720281058
  NPD
• Maya N Benton, PA-C

  • Physician Assistant
  • Tampa, FL
  • NPI 1134110307
  NPD (past)

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788307200000",
    "number": "1356166391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "telephone_number": "813-212-1120",
            "fax_number": "813-412-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143931",
            "telephone_number": "813-212-1120",
            "fax_number": "813-412-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PERFORMANCE LAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A",
        "authorized_official_last_name": "MANIOS",
        "authorized_official_first_name": "BAHIR",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-212-1120"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Performance Lab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Multi-Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.