FREEDOM PERFORMANCE, LLC
NPI 1922778307
Physical Therapist - Sports in Prescott, AZ
About Freedom Performance, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREEDOM PERFORMANCE, LLC (NPI 1922778307) is a healthcare organization registered as a sports in Prescott, Arizona and active in the NPI registry since September 2021. The organization lists Braden J Mengarelli, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Freedom Performance, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Freedom Performance, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Freedom Performance, LLC's NPI number?
The NPI number for Freedom Performance, LLC is 1922778307. It was assigned to this organization in the NPPES registry on September 16, 2021.
Where is Freedom Performance, LLC located?
Freedom Performance, LLC is located at 600 E Moeller St Ste 5, Prescott, AZ 86301. The listed phone number is (928) 420-3804.
What is Freedom Performance, LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist, specializing in Sports, with taxonomy code 2251S0007X.
Is Freedom Performance, LLC enrolled in Medicare?
Yes. Freedom Performance, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Freedom Performance, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Freedom Performance, LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Freedom Performance, LLC was last updated on March 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Freedom Performance, Llc · NPI 1922778307
Sports organization in Prescott, Arizona. Organization record, active in the CMS NPPES registry since September 16, 2021.
## Identity
- **NPI:** 1922778307 (Entity type: Organization)
- **Enumerated:** September 16, 2021
- **Primary specialty:** Physical Therapist - Sports · taxonomy 2251S0007X
- **Organization subpart:** No
- **Authorized official:** Braden Mengarelli, OWNER
## Practice location
- **Address:** 600 E MOELLER ST STE 5, Prescott, AZ 86301-2692
- **Phone:** (928) 420-3804
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1922778307) · Data from the CMS NPPES public registry.