Organization Active NPI

Vip Physical Therapy LLC

  • Physical Therapist
  • Overland Park, KS
National Provider Identifier
1184409138
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VIP PHYSICAL THERAPY LLC
Practice address
6608 W 150TH St
Overland Park, KS 66223-2544
Phone
(816) 520-4755
Fax
(913) 308-5356
NPI assigned
Aug 29, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Ryan Timm, PTNPI 1992873574
Title
Founder/Physical Therapist
Phone
(913) 358-0040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6608 W 150TH St
Overland Park, KS 66223-2544

Mailing address

6608 W 150TH St
Overland Park, KS 66223-2544
Phone (913) 358-0040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230914001824 KS Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092179630 Receives reassigned benefits from 1 practitioner
Practice locations: Mission, KS; Overland Park, KS

National Provider Directory

National Provider Directory

Locations

6320 Lamar Ave
Ste 120
Mission, KS 66202
Phone (913) 358-0040

14868 Metcalf Ave
Overland Park, KS 66223
Phone (312) 369-9707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1184409138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 W 150TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232544",
            "telephone_number": "913-358-0040",
            "fax_number": "913-308-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 W 150TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662232544",
            "telephone_number": "816-520-4755",
            "fax_number": "913-308-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIP PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-29",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "TIMM",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "FOUNDER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "913-358-0040",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.