Provider Demographics
NPI:1184409138
Name:PT2GO LLC
Entity type:Organization
Organization Name:PT2GO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:RYAN
Authorized Official - Last Name:TIMM
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:816-520-4755
Mailing Address - Street 1:6608 W 150TH ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66223-2544
Mailing Address - Country:US
Mailing Address - Phone:816-520-4755
Mailing Address - Fax:913-308-5356
Practice Address - Street 1:6608 W 150TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66223-2544
Practice Address - Country:US
Practice Address - Phone:816-520-4755
Practice Address - Fax:913-308-5356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty