Vadim Lavor, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

49915 Issued in CA

Practice address

11930 Heritage Oak PL Ste 9
Auburn, CA 95603-2458

Phone

(530) 887-8785

Fax

(530) 887-8112

NPI assigned

Sep 3, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1386292258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 HAYDEN PKWY APT 821",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11930 HERITAGE OAK PL STE 9",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032458",
            "telephone_number": "530-887-8785",
            "fax_number": "530-887-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVOR",
        "first_name": "VADIM",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-03",
        "last_updated": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "lavorv@sutterhealth.org",
            "affiliation": "Y",
            "endpointDescription": "WORK email",
            "affiliationName": "Sutter Valley Medical Foundation",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Hospital",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "11930 Heritage Oak Pl Ste 9",
            "city": "Auburn",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956032458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicole Renee Laubach Ferretti, LCSW
• Laura Faudree, Licensed Marriage & Family Therapist, Inc
• Jodi Lynn Lavoie, MSW
• Mary Lavoie, AUDIOLOGIST/SP.PATH.
• Steve Lavoie, HEARING AID DISPENSE
• Christina Law, NP
• Anthony Layman
• Catherine Lazar, CATHERINE LAZAR, MFT
• Alana Leal
• Carol Marlane Lee, M.S.W.

• Physical Therapy Assistant in Auburn, CA
• Providers in Auburn, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.