Vine Performance Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VINE PERFORMANCE THERAPY LLC

Practice address

400 Lazelle Rd Ste 10
Columbus, OH 43240-2077

Phone

(740) 936-7774

NPI assigned

Dec 7, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Ryan J Teknipp, DPTNPI 1043798119

Title

Owner

Phone

(740) 990-6311

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

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

• Ryan J Teknipp, DPT

  • Orthopedic Physical Therapist
  • Columbus, OH
  • NPI 1043798119
  Medicare reassignment Care Compare group NPD Authorized official
• Alex Parrish, P.T.

  • Sports Physical Therapist
  • Scottsdale, AZ
  • NPI 1811568264

  OH

  Medicare reassignment Care Compare group NPD
• Chanel Tajuana Traniese Crawford, DPT

  • Physical Therapist
  • Dublin, OH
  • NPI 1457081051
  Medicare reassignment NPD

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642809600000",
    "number": "1124786009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SEATRAIN DR",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430153418",
            "telephone_number": "740-990-6311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LAZELLE RD STE 10",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432402077",
            "telephone_number": "740-936-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE PERFORMANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2022-01-22",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "TEKNIPP",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-990-6311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Vincent
• Karen Vincent, DO
• Lori L Vincent, PMHNP-BC
• Ryan G. Vincent, APRN-CRNA
• Katie Marie Vincer Sears, DDS
• Charles Viney
• Phillis Lucille Viney
• Caroline Vineyard
• Diana Vinh, PHARM.D.
• Ancey Vinoyi, APRN-CNP

• Physical Therapy Clinic/Center in Columbus, OH
• Providers in Columbus, OH by specialty
• Physical Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2022; 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.