OrganizationActive
Vine Therapy Center Inc
NPI 1962739714 · Physical Therapy Clinic/Center · Kissimmee, FL
Provider details
- NPI number
- 1962739714
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Idelfonso Morejon, President(407) 201-4932
- License
- M55648 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
419 W Vine St
Kissimmee, FL 34741-4154
Phone: (407) 201-4932
Fax: (407) 350-5996
Approximate (ZIP-level) locationGet directions
Mailing address
419 W Vine St
Kissimmee, FL 34741-4154
Registry dates
- Enumerated
- 2009-11-14
- Last updated
- 2009-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.