DR. PAVEL VASILCHUK PT, DPT
NPI 1174140685
Physical Therapist in Auburn, CA

Active since June 30, 2020
11960 HERITAGE OAK PL STE 19, AUBURN, CA 95603(530) 878-5301 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 3, 2022, Jun 30, 2020 (2 updates tracked since 2020).

About Dr. Pavel Vasilchuk Pt, Dpt NPPES

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

DR. PAVEL VASILCHUK PT, DPT (NPI 1174140685) is an individual physical therapist in Auburn, California, licensed in California (PT298430) and active in the NPI registry since June 2020.

NPPES Registry Identity

NPI1174140685
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. PAVEL VASILCHUKCredential: PT, DPT
Location Address11960 HERITAGE OAK PL STE 19Auburn, CA 95603-2403
Mailing Address5704 Great Valley DrAntelope, CA 95843-3705
Sole ProprietorNo
Enumeration DateJune 30, 2020
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
✔ NPI 1174140685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · PT298430
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
11960 HERITAGE OAK PL STE 19, Auburn, CA 95603

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Pavel Vasilchuk Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Pavel Vasilchuk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
11960 HERITAGE OAK PL STE 19
AUBURN, CA 95603

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 Pavel Vasilchuk's NPI number?

The NPI number for Pavel Vasilchuk is 1174140685. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Pavel Vasilchuk located?

Pavel Vasilchuk practices at 11960 Heritage Oak Pl Ste 19, Auburn, CA 95603. The listed phone number is (530) 878-5301.

What is Pavel Vasilchuk's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Pavel Vasilchuk enrolled in Medicare?

Yes. Pavel Vasilchuk is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pavel Vasilchuk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pavel Vasilchuk reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The 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 Pavel Vasilchuk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pavel Vasilchuk was last updated on February 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.