Individual provider Active NPI

Huyen Lu Vitale, PT

  • Physical Therapist
  • Clermont, FL
National Provider Identifier
1811210743
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21120 Issued in FL
Practice address
333 N Highway 27
Clermont, FL 34711-2440
Phone
(352) 432-3910
Fax
(352) 432-3911
NPI assigned
Mar 6, 2010
Sex
Female
Sole proprietor
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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21120 FL Primary

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
I20100429000738 FL Practitioner - Physical Therapist in Private Practice 2567599178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 N Hwy 27
Clermont, FL 34711-2440
Phone (352) 432-3910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lymphedema and Physical Therapy Specialists, LLC Physical Therapist CurrentSince Feb 19, 2011 Accepting new patients

Locations

333 N Highway 27
Clermont, FL 34711
Phone (352) 432-3910

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

1200 Edgewater Dr
Orlando, FL 32804
Phone (407) 244-8559

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1267833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721952000000",
    "number": "1811210743",
    "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"
        },
        {
            "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": {
        "last_name": "VITALE",
        "first_name": "HUYEN",
        "middle_name": "LU",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-06",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21120",
            "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 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.
  • 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.