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

Mrs. Vicky Lynne McInnis, PTA

Individual provider Physical Therapy Assistant · NPI 1790811958

Mrs. Vicky Lynne McInnis, PTA is a Physical Therapy Assistant in Carolina Beach, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1328 N Lake Park Blvd Ste 108
Carolina Beach, NC 28428-3935
Phone: (910) 458-8884
Fax: (910) 458-3976
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3072 (NC)

Record details

NPI number1790811958
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedFebruary 24, 2007
Last updated in NPPESJuly 8, 2007

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