Organization Active NPI

Performance & Recovery Lab, LLC.

  • Physical Therapy Clinic/Center
  • Mesa, AZ
National Provider Identifier
1699292201
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
10208 Issued in AZ
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

Updated by the provider on Aug 28, 2025

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

Authorized official

Name
Courtney Warren, DPTNPI 1407293491
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1407293491OtherAZINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181210003557 AZ Part B Supplier - Clinic/Group Practice 0749524205 Receives reassigned benefits from 1 practitioner
Practice locations: Mesa, AZ

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.