Active NPI
Limitless Regenerative, LLC
- EEG Specialist/Technologist
- Loves Park, IL
National Provider Identifier
1346017035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- EEG Specialist/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.