Victoria Rose Lavery, PT

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

PT027709 Issued in PA

Practice address

3347 W 12TH St Ste 101
Erie, PA 16505-3725

Phone

(814) 838-1223

Fax

(814) 838-1223

NPI assigned

Aug 20, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Seth Enterprises I

  • Physical Therapist
  • Erie, PA
  • NPI 1205946910
  Medicare reassignment NPD
• Seth Enterprises II LLC

  • Physical Therapist
  • Erie, PA
  • NPI 1841300654
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1124630272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 W 12TH ST STE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053725",
            "telephone_number": "814-838-1223",
            "fax_number": "814-838-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 W 12TH ST STE 101",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053725",
            "telephone_number": "814-838-1223",
            "fax_number": "814-838-1223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10081 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Girard",
            "state": "PA",
            "postal_code": "164179403",
            "country_code": "US",
            "telephone_number": "814-774-2630",
            "fax_number": "814-774-2719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVERY",
        "first_name": "VICTORIA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "PT027709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren M Mozdy MD
• Marsha Laurencin, MD
• Ashley Lauria, RD, LDN, CLC
• Kayla Lavery
• Nicole Lavery, MS OTR/L
• David Michael Lavin, M.D.
• Lawrence Park Volunteer Fire Dept Lawrence Park
• Adam Christian Lawrence, CRNP
• Ryan Lawrence
• Sandra M. Lawrence, C.PED

• Physical Medicine & Rehabilitation Physician in Erie, PA
• Providers in Erie, PA by specialty
• Physical Medicine & Rehabilitation Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.