ORTHOPAEDIC REGENERATIVE MEDICINE, LLC
NPI 1164043204
Orthopaedic Surgery - Sports Medicine in Tempe, AZ

Q: What is Orthopaedic Regenerative Medicine, LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Active since April 29, 2020

4765 S LAKESHORE DR, TEMPE, AZ 85282(602) 429-0404 Get Directions Write a Review

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Orthopaedic Regenerative Medicine, Llc NPPES

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

ORTHOPAEDIC REGENERATIVE MEDICINE, LLC (NPI 1164043204) is a healthcare organization registered as a sports medicine in Tempe, Arizona and active in the NPI registry since April 2020. The organization lists Angelo Mattalino, Owner, as its authorized official.

NPPES Registry Identity

NPI1164043204

Entity TypeOrganization

Primary Taxonomy207XX0005X

Legal Business NameORTHOPAEDIC REGENERATIVE MEDICINE, LLC

Location Address4765 S LAKESHORE DRTempe, AZ 85282-7197

Mailing Address4400 N Scottsdale Rd # 9-844Scottsdale, AZ 85251-3331

Phone(602) 429-0404

Organization SubpartNo

Authorized OfficialAngelo MattalinoOwner · (602) 429-0404

Enumeration DateApril 29, 2020

NPPES CertifiedApril 29, 2020

✔ NPI 1164043204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

4765 S LAKESHORE DR, Tempe, AZ 85282

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

LAKESHORE INTERVENTIONAL TREATMENT CENTER LLC

Clinic/Center (Pain)