THE PERFORMANCE LAB NPI 1679352884

NPI Information

  • NPI: 1679352884
  • Provider Name: THE PERFORMANCE LAB
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Organization
  • Address: 40 UNION CITY RD STE D
    PROSPECT, CT
    ZIP 06712
  • Phone: (203) 232-5924

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NPI Details

THE PERFORMANCE LAB is an orthopedic physical therapist in Prospect, CT. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. THE PERFORMANCE LAB NPI is 1679352884. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

40 UNION CITY RD STE D
PROSPECT, CT
ZIP 06712-585
Phone: (203) 232-5924

The provider's authorized official is Rebecca Lavaway .
The authorized official title is Ceo/owner and has the following contact phone number (475) 233-3311.

The enumeration date for this NPI number is 9/26/2023 and was last updated on 9/26/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251X0800XPhysical TherapistOrthopedicYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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