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

Vine Physical Therapy Physical Therapist

Organization Physical Therapist · NPI 1720704158

Vine Physical Therapy Physical Therapist provides Physical Therapist services in Raleigh, North Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

3808 Tritonville Way
Raleigh, NC 27616-9207
Phone: (919) 889-2408
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1720704158
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Obinna Ezeamurunamma — Physical Therapist · (919) 889-2408
NPI enumeratedOctober 18, 2022
Last updated in NPPESApril 23, 2023
Certification dateApril 23, 2023
Mailing address3808 Tritonville Way, Raleigh, NC 27616-9207

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