Active NPI
Performance & Recovery Lab, LLC.
- Physical Therapy Clinic/Center
- Mesa, AZ
National Provider Identifier
1699292201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 10208
- Legal business name
- PERFORMANCE & RECOVERY LAB, LLC.
- Practice address
- 3514 N Power Rd Ste 133
Mesa, AZ 85215-2911 - Phone
- (480) 625-6693
- Fax
- (480) 304-3269
- NPI assigned
- Aug 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Warren, DPT
- Title
- Owner
- Phone
- (702) 443-1133
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 10208 | AZ | Primary |
Addresses
Primary practice location
3514 N Power Rd Ste 133
Mesa, AZ 85215-2911
Mailing address
3514 N Power Rd Ste 133
Mesa, AZ 85215-2911
Phone (480) 625-6693
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407293491 | Other | AZ | INDIVIDUAL NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20181210003557 | AZ | Part B Supplier - Clinic/Group Practice | 0749524205 |
Receives reassigned benefits from 1 practitioner Practice locations: Mesa, AZ |
National Provider Directory
National Provider DirectoryLocations
3514 N Power Rd
Ste 133
Mesa, AZ 85215
Phone (480) 625-6693
2837 N Power Rd
Ste 109
Mesa, AZ 85215
Phone (480) 375-0630
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapy Assistant
- Mesa, AZ
- NPI 1346009164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503532800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756339200000",
"number": "1699292201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3514 N POWER RD STE 133",
"city": "MESA",
"state": "AZ",
"postal_code": "852152911",
"telephone_number": "480-625-6693",
"fax_number": "480-304-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3514 N POWER RD STE 133",
"city": "MESA",
"state": "AZ",
"postal_code": "852152911",
"telephone_number": "480-625-6693",
"fax_number": "480-304-3269"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERFORMANCE & RECOVERY LAB, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-24",
"last_updated": "2025-08-28",
"certification_date": "2025-08-28",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-443-1133",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "AZ",
"license": "10208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIVIDUAL NPI",
"identifier": "1407293491",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; 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.