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REGEN 360 INDY LLC
NPI 1851911945
General Practice in Indianapolis, IN

Active since April 20, 2020
70 E 91ST ST STE 101, INDIANAPOLIS, IN 46240(312) 972-8307 Get Directions Write a Review

NPPES record last updated: April 20, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Regen 360 Indy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REGEN 360 INDY LLC (NPI 1851911945) is a healthcare organization registered as a general practice in Indianapolis, Indiana and active in the NPI registry since April 2020. The organization lists Tori Lynn Matthews, Manager, as its authorized official.

NPPES Registry Identity

NPI1851911945
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameREGEN 360 INDY LLC
Location Address70 E 91ST ST STE 101Indianapolis, IN 46240-1550
Mailing Address14251 Langham DrCarmel, IN 46074-4401 · (312) 972-8307
Phone(312) 972-8307
Organization SubpartNo
Authorized OfficialTori Lynn MatthewsManager · (817) 915-9965
Enumeration DateApril 20, 2020
NPPES CertifiedApril 20, 2020
✔ NPI 1851911945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

70 E 91ST ST STE 101, Indianapolis, IN 46240
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

INDIANAPOLIS NEUROBEHAVIORAL HEALTH CENTER LLC
Clinical Neuropsychologist
70 E 91ST ST STE 101
INDIANAPOLIS, IN 46240
Marion County (317) 830-5859

Frequently Asked Questions

What is REGEN 360 INDY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1851911945, enumerated as an "organization" on April 20, 2020.

Where is the provider located?

The provider is located at 70 E 91ST ST STE 101 INDIANAPOLIS, IN 46240 and the phone number is (312) 972-8307.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.