THE PERFORMANCE LAB
NPI 1679352884
Physical Therapist - Orthopedic in Prospect, CT

Active since September 26, 2023
40 UNION CITY RD STE D, PROSPECT, CT 06712(203) 232-5924 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About The Performance Lab NPPES

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

THE PERFORMANCE LAB (NPI 1679352884), doing business as The Performance Lab Llc, is a healthcare organization registered as an orthopedic in Prospect, Connecticut and active in the NPI registry since September 2023. The organization maintains a secondary practice location in West Hartford and lists Rebecca Lavaway, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1679352884
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameTHE PERFORMANCE LAB
Location Address40 UNION CITY RD STE DProspect, CT 06712-1585
Mailing Address103 Plank RdProspect, CT 06712-1437 · (203) 232-5924
Organization SubpartNo
Authorized OfficialRebecca LavawayCeo/owner · (475) 233-3311
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1679352884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition

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.

40 UNION CITY RD STE D, Prospect, CT 06712

Other Names 1

Former Legal Business NameThe Performance Lab Llc

Secondary Practice Location 1

Location 1635 New Park AveWest Hartford, CT 06110-1329 · Phone (475) 316-1786

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
40 UNION CITY RD STE D
PROSPECT, CT 06712

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679352884, enumerated as an "organization" on September 26, 2023.

The provider is located at 40 UNION CITY RD STE D PROSPECT, CT 06712 and the phone number is (203) 232-5924.

Physical Therapist with taxonomy code 2251X0800X and a focus in Orthopedic.