Organization Active NPI

Limitless Regenerative, LLC

  • EEG Specialist/Technologist
  • Loves Park, IL
National Provider Identifier
1346017035
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EEG Specialist/TechnologistTaxonomy code 246ZE0500X
Legal business name
LIMITLESS REGENERATIVE, LLC
Practice address
5901 Pleasant Ave
Loves Park, IL 61111-4533
Phone
(346) 268-9775
NPI assigned
Dec 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Authorized official

Name
Bobby K Thomas
Title
Ceo
Phone
(346) 268-9775

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EEG Specialist/Technologist 246ZE0500X Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

5901 Pleasant Ave
Loves Park, IL 61111-4533

Mailing address

5100 Balcones Drive
Suite 100
Austin, TX 78731
Phone (346) 268-9775

National Provider Directory

National Provider Directory

Locations

5901 Pleasant Ave
Loves Park, IL 61111
Phone (346) 268-9775

NPI Registry JSON

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1346017035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BALCONES DRIVE",
            "address_2": "SUITE 100",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "346-268-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PLEASANT AVE",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114533",
            "telephone_number": "346-268-9775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMITLESS REGENERATIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "346-268-9775"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Loves Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.