Organization Active NPI

Limitless Physical Therapy LLC

  • Clinic/Center
  • Fort Gibson, OK
National Provider Identifier
1316695919
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LIMITLESS PHYSICAL THERAPY LLC
Practice address
1207 S Lee St
Fort Gibson, OK 74434-8757
Phone
(918) 207-7298
NPI assigned
Mar 13, 2022
Last updated
May 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Authorized official

Name
Kaitlin Lubbers, DPTNPI 1073138111
Title
Owner
Phone
(918) 207-7298

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
Clinic/Center 261Q00000X NU Primary

Addresses

Primary practice location

1207 S Lee St
Fort Gibson, OK 74434-8757

Mailing address

23052 Highway 82
Park Hill, OK 74451-4154
Phone (918) 207-7298

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220907000280 OK Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3476940172 Receives reassigned benefits from 1 practitioner
Practice locations: Fort Gibson, OK

National Provider Directory

National Provider Directory

Locations

1207 S Lee St
Fort Gibson, OK 74434
Phone (918) 203-5001

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1316695919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23052 HIGHWAY 82",
            "city": "PARK HILL",
            "state": "OK",
            "postal_code": "744514154",
            "telephone_number": "918-207-7298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 S LEE ST",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348757",
            "telephone_number": "918-207-7298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMITLESS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A",
        "authorized_official_last_name": "LUBBERS",
        "authorized_official_first_name": "KAITLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-207-7298",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gibson, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.