Rory Connor Lavallee, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

042284 Issued in NY

Practice address

9768 Liberty Dr
Painted Post, NY 14870-9094

Phone

(607) 937-4800

Fax

(607) 937-4888

NPI assigned

Mar 9, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deeley Physical Therapy PC 2 clinicians

Practice addresses (Care Compare)

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.

• Deeley Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Binghamton, NY
  • NPI 1831430933

  NY

  Medicare reassignment Care Compare group NPD
• Marathon Physical Therapy and Sports Medicine, LLC

  • Physical Therapist
  • Newton, MA
  • NPI 1346373115
  NPD (past)

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576454400000",
    "number": "1205377397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9768 LIBERTY DR",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709094",
            "telephone_number": "607-937-4800",
            "fax_number": "607-937-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9768 LIBERTY DR",
            "city": "PAINTED POST",
            "state": "NY",
            "postal_code": "148709094",
            "telephone_number": "607-937-4800",
            "fax_number": "607-937-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVALLEE",
        "first_name": "RORY",
        "middle_name": "CONNOR",
        "credential": "PT, DPT,  ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-09",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22725",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MA",
            "license": "2894",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NH",
            "license": "0628",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "002813",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "042284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doris A Knowles
• Laura Huff Koratsis, LMT, CHT
• Markaley Jo Kosa
• William V Krazinski, R.PH.
• Daniel P. Kreisler, P.T.
• Gretchen Laura Lehman, MS CCC-SLP
• Dariusz Jarslaw Listopadzki, M.D.
• Ciera Lovitt
• Connie Elaine Lucia, OTR/L
• Sabrina Macomber

• All providers in Painted Post, NY
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.