Organization Active NPI

Limitless Physical Therapy, LLC

  • Sports Physical Therapist
  • Covington, LA
National Provider Identifier
1548734692
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
LIMITLESS PHYSICAL THERAPY, LLC
Practice address
842 Collins Blvd
Covington, LA 70433-2759
Phone
(318) 613-1945
NPI assigned
Jan 11, 2019
Last updated
Jan 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Authorized official

Name
Dustin Curtis Dixon, PT, DPTNPI 1184910283
Title
Owner
Phone
(318) 613-1945

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
Sports Physical Therapist 2251S0007X NU Primary

Addresses

Primary practice location

842 Collins Blvd
Covington, LA 70433-2759

Mailing address

72437 Wise Rd
Covington, LA 70433-0830
Phone (318) 613-1945

Other identifiers 1

IdentifierTypeStateIssuer
1184910283MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190628000042 LA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8921332735 Receives reassigned benefits from 3 practitioners
Practice locations: Covington, LA

National Provider Directory

National Provider Directory

Locations

842 Collins Blvd
Ste P
Covington, LA 70433

842 Collins Blvd
Ste P
Covington, LA 70433
Phone (318) 613-1945

Practitioners & affiliated clinicians

Practitioners 3

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": "1547164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547164800000",
    "number": "1548734692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72437 WISE RD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704330830",
            "telephone_number": "318-613-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 COLLINS BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332759",
            "telephone_number": "318-613-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIMITLESS PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-11",
        "last_updated": "2019-01-11",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "CURTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-613-1945",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184910283",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.