Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vine Performance Therapy LLC

Organization Physical Therapy Clinic/Center · NPI 1124786009

Vine Performance Therapy LLC is a Physical Therapy Clinic/Center in Columbus, Ohio. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 Lazelle Rd Ste 10
Columbus, OH 43240-2077
Phone: (740) 936-7774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1124786009
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryan Teknipp — Owner · (740) 990-6311
NPI enumeratedDecember 7, 2021
Last updated in NPPESJanuary 22, 2022
Certification dateJanuary 22, 2022
Mailing address220 Seatrain Dr, Delaware, OH 43015-3418

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