Individual provider Active NPI

Vicki Deutsch, PTA/L

  • Physical Therapy Assistant
  • Clermont, FL
National Provider Identifier
1366079873
Registry record updated Jan 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA19792 Issued in FL
Practice address
235 Citrus Tower Blvd Ste 105
Clermont, FL 34711-2711
Phone
(321) 972-4122
Fax
(407) 542-2168
NPI assigned
Mar 25, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA19792FLMDPhysical Therapy Assistant

NPPES NPI Registry

Updated by the provider on Jan 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA19792 FL Primary

Addresses

Primary practice location

235 Citrus Tower Blvd Ste 105
Clermont, FL 34711-2711

Mailing address

PO Box 120547
Clermont, FL 34712-0547
Phone (352) 394-0212

NPI Registry JSON

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767225600000",
    "number": "1366079873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 120547",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347120547",
            "telephone_number": "352-394-0212",
            "fax_number": "352-241-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 CITRUS TOWER BLVD STE 105",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112711",
            "telephone_number": "321-972-4122",
            "fax_number": "407-542-2168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEUTSCH",
        "first_name": "VICKI",
        "credential": "PTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2026-01-01",
        "certification_date": "2026-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA19792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2026; 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.