VINE PERFORMANCE THERAPY LLC
NPI 1124786009
Clinic/Center - Physical Therapy in Columbus, OH
About Vine Performance Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VINE PERFORMANCE THERAPY LLC (NPI 1124786009) is a healthcare organization registered as a physical therapy in Columbus, Ohio and active in the NPI registry since December 2021. The organization lists Ryan J Teknipp, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vine Performance Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Vine Performance Therapy LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Vine Performance Therapy LLC's NPI number?
The NPI number for Vine Performance Therapy LLC is 1124786009. It was assigned to this organization in the NPPES registry on December 7, 2021.
Where is Vine Performance Therapy LLC located?
Vine Performance Therapy LLC is located at 400 Lazelle Rd Ste 10, Columbus, OH 43240. The listed phone number is (740) 936-7774.
What is Vine Performance Therapy LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Vine Performance Therapy LLC enrolled in Medicare?
Yes. Vine Performance Therapy LLC is registered in the Medicare PECOS enrollment system.
When is Vine Performance Therapy LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Vine Performance Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Vine Performance Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Vine Performance Therapy LLC was last updated on January 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Vine Performance Therapy Llc · NPI 1124786009
Physical Therapy organization in Columbus, Ohio. Organization record, active in the CMS NPPES registry since December 7, 2021.
## Identity
- **NPI:** 1124786009 (Entity type: Organization)
- **Enumerated:** December 7, 2021
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Ryan Teknipp, OWNER
## Practice location
- **Address:** 400 LAZELLE RD STE 10, Columbus, OH 43240-2077
- **Phone:** (740) 936-7774
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Ohio, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 22, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1124786009) · Data from the CMS NPPES public registry.