NPIMap

Organization Active NPI

Pt2Go, LLC

  • Physical Therapist
  • VA BCH, VA
National Provider Identifier
1639636517
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PT2GO, LLC
Practice address
752 Southleaf Dr
VA BCH, VA 23462-4749
Phone
(757) 222-2230
Fax
(757) 222-2230
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Matthew Thomas Fiano, PT, DPT, CSCSNPI 1972024495
Title
Owner
Phone
(757) 222-2230

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

752 Southleaf Dr
VA BCH, VA 23462-4749

Mailing address

752 Southleaf Dr
Virginia Beach, VA 23462-4749
Phone (757) 222-2230

Other names 1

  • Pt2go Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190807003260 VA Part B Supplier - Clinic/Group Practice 8921335316 Receives reassigned benefits from 13 practitioners
Practice locations: Virginia Beach, VA
O20200218001066 NC Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921335316 Receives reassigned benefits from 1 practitioner
Practice locations: Moyock, NC

National Provider Directory

National Provider Directory

Locations

716 Caratoke Hwy
Ste 2
Moyock, NC 27958
Phone (757) 222-2230

361 Cleveland Pl
Ste 101
Virginia Beach, VA 23462

397 Little Neck Rd
Ste 100
Virginia Beach, VA 23452
Phone (757) 222-2230

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1639636517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 SOUTHLEAF DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234624749",
            "telephone_number": "757-222-2230",
            "fax_number": "757-222-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 SOUTHLEAF DR",
            "city": "VA BCH",
            "state": "VA",
            "postal_code": "234624749",
            "telephone_number": "757-222-2230",
            "fax_number": "757-222-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PT2GO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "FIANO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-222-2230",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pt2go",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in VA BCH, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.