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

Mr. Edwin Pierre Vines, MSPT

Individual provider Physical Therapist · NPI 1780892091

Mr. Edwin Pierre Vines, MSPT is a Physical Therapist in Private Practice in Fairlawn, Ohio. Qualified in 2001, 25 years ago. Practices with Advanced Spine Joint and Wellness Center, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
25
Licensed in
OH
In the registry since
2007
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Practice location Address checks out

575 S Cleveland Massillon Rd
Fairlawn, OH 44333-3019
Phone: (330) 666-5866
Fax: (330) 666-3215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT 10042 (OH)

Record details

NPI number1780892091
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorYes
NPI enumeratedMay 18, 2007
Last updated in NPPESNovember 4, 2015
Mailing address1340 Shanabrook Dr, Akron, OH 44313-5734

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Advanced Spine Joint And Wellness Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairlawn