Provider Demographics
NPI:1467159582
Name:G2G PT LLC
Entity Type:Organization
Organization Name:G2G PT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RUPPELT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:605-464-7353
Mailing Address - Street 1:7013 W 56TH ST UNIT 6
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-7534
Mailing Address - Country:US
Mailing Address - Phone:605-464-7353
Mailing Address - Fax:
Practice Address - Street 1:7013 W 56TH ST UNIT 6
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-7534
Practice Address - Country:US
Practice Address - Phone:605-464-7353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty