PERFORMANCE PHYSICAL THERAPY AND SPORTS LAB INC.
NPI 1023461191
Specialist in Laguna Hills, CA

Active since July 13, 2016
25231 PASEO DE ALICIA STE 110, LAGUNA HILLS, CA 92653(949) 716-4889(949) 716-4963 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 6, 2017, Jul 13, 2016 (2 updates tracked since 2016).

About Performance Physical Therapy And Sports Lab Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PERFORMANCE PHYSICAL THERAPY AND SPORTS LAB INC. (NPI 1023461191) is a healthcare organization registered as a specialist in Laguna Hills, California and active in the NPI registry since July 2016. The organization lists Calvin Lefebvre, Owner, as its authorized official.

NPPES Registry Identity

NPI1023461191
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePERFORMANCE PHYSICAL THERAPY AND SPORTS LAB INC.
Location Address25231 PASEO DE ALICIA STE 110Laguna Hills, CA 92653-4615
Mailing Address25231 Paseo De Alicia Ste 110Laguna Hills, CA 92653-4615 · (949) 716-4889 · Fax (949) 716-4963
Fax(949) 716-4963
Organization SubpartNo
Authorized OfficialCalvin LefebvreOwner · (949) 716-4889
Enumeration DateJuly 13, 2016
Last NPPES UpdateJanuary 6, 20172 updates tracked since enumeration
✔ NPI 1023461191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · PT37989
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
25231 PASEO DE ALICIA STE 110, Laguna Hills, CA 92653

Other Identifiers 1

Medicare UPINGP562ACA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Performance Physical Therapy And Sports Lab Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Performance Physical Therapy And Sports Lab Inc., which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Physical Therapist in Private Practice
NPI 1720485543
25231 PASEO DE ALICIA STE 110
Laguna Hills, CA 92653
(949) 716-4889
✔ Accepts Medicare0.1 mi
Physical Therapist in Private Practice
NPI 1851688071
25231 PASEO DE ALICIA STE 110
Laguna Hills, CA 92653
(949) 244-4675
✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Performance Physical Therapy And Sports Lab Inc.'s NPI number?

The NPI number for Performance Physical Therapy And Sports Lab Inc. is 1023461191. It was assigned to this organization in the NPPES registry on July 13, 2016.

Where is Performance Physical Therapy And Sports Lab Inc. located?

Performance Physical Therapy And Sports Lab Inc. is located at 25231 Paseo De Alicia Ste 110, Laguna Hills, CA 92653. The listed phone number is (949) 716-4889.

What is Performance Physical Therapy And Sports Lab Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Performance Physical Therapy And Sports Lab Inc. enrolled in Medicare?

Yes. Performance Physical Therapy And Sports Lab Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Performance Physical Therapy And Sports Lab Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Performance Physical Therapy And Sports Lab Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Performance Physical Therapy And Sports Lab Inc. was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.