NPIMap

Organization Active NPI

Lymphedema and Physical Therapy Specialists, LLC

  • Physical Therapy Clinic/Center
  • Clermont, FL
National Provider Identifier
1639474547
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
PT21120 Issued in FL
Legal business name
LYMPHEDEMA AND PHYSICAL THERAPY SPECIALISTS, LLC
Practice address
333 N Highway 27
Clermont, FL 34711-2440
Phone
(352) 432-3910
Fax
(352) 432-3911
NPI assigned
Jan 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Mrs. Huyen Lu Vitale, PTNPI 1811210743
Title
Owner
Phone
(321) 356-6460

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X PT21120 FL Primary
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

333 N Highway 27
Clermont, FL 34711-2440

Mailing address

3390 Players Point Loop
Apopka, FL 32712-4771
Phone (321) 356-6460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110516000520 FL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6901082577 Receives reassigned benefits from 3 practitioners
Practice locations: Clermont, FL

National Provider Directory

National Provider Directory

Locations

301 N Highway 27
Unit F
Clermont, FL 34711
Phone (352) 432-3910

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1639474547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 PLAYERS POINT LOOP",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327124771",
            "telephone_number": "321-356-6460",
            "fax_number": "407-889-4507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 N HIGHWAY 27",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347112440",
            "telephone_number": "352-432-3910",
            "fax_number": "352-432-3911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYMPHEDEMA AND PHYSICAL THERAPY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "VITALE",
        "authorized_official_first_name": "HUYEN",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-356-6460",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "PT21120",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Jul 26, 2024; 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.