Vine Therapy Center Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

M55648 Issued in FL

Legal business name

VINE THERAPY CENTER INC

Practice address

419 W Vine St
Kissimmee, FL 34741-4154

Phone

(407) 201-4932

Fax

(407) 350-5996

NPI assigned

Nov 14, 2009

Organization subpart

No

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

Authorized official

Name

Prof. Idelfonso Morejon, MA

Title

President

Phone

(407) 201-4932

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1258156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258156800000",
    "number": "1962739714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414154",
            "telephone_number": "407-201-4932",
            "fax_number": "407-350-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W VINE ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414154",
            "telephone_number": "407-201-4932",
            "fax_number": "407-350-5996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE THERAPY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-14",
        "last_updated": "2009-11-14",
        "status": "A",
        "authorized_official_last_name": "MOREJON",
        "authorized_official_first_name": "IDELFONSO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-201-4932",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "FL",
            "license": "M55648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yelitza Lyzeth Villegas
• Melanie Villeneuve, COTA
• Marcos Alejandro Villoch Fernandez
• Nadeige Vilson
• Vine Family Chiropractic Centre
• Vineland Medical Care LLC
• Coleman Vines
• Vip Express Tours, Inc.
• Vip Family Practice LLC
• Vip Rapid Care

• Physical Therapy Clinic/Center in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2009; 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.