ULTIMATE SPORTS REGENERATIVE MEDICINE
NPI 1366989931
Nurse Practitioner in South Jordan, UT

Active since January 20, 2017
1098 W. SOUTH JORDAN PKWY, SUITE 101, SOUTH JORDAN, UT 84095(801) 254-5800(801) 254-1696 Get Directions Write a Review

NPPES record last updated: January 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ultimate Sports Regenerative Medicine NPPES

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

ULTIMATE SPORTS REGENERATIVE MEDICINE (NPI 1366989931) is a healthcare organization registered as a nurse practitioner in South Jordan, Utah and active in the NPI registry since January 2017. The organization lists Patrick Garcia, Direct Owner, as its authorized official.

NPPES Registry Identity

NPI1366989931
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameULTIMATE SPORTS REGENERATIVE MEDICINE
Location Address1098 W. SOUTH JORDAN PKWY, SUITE 101South Jordan, UT 84095
Mailing Address1098 W South Jordan Pkwy, Suite 101South Jordan, UT 84095-9366 · (801) 254-5800 · Fax (801) 254-1696
Fax(801) 254-1696
Organization SubpartYes
Authorized OfficialPatrick GarciaDirect Owner · (801) 254-5800
Enumeration DateJanuary 20, 2017
NPI 1366989931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in UT · 347183-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedChiropractor · Independent Medical ExaminerTaxonomy 111NI0013X · License 7058178-1202 (UT)
1098 W. SOUTH JORDAN PKWY, South Jordan, UT 84095

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ultimate Sports Regenerative Medicine's NPI number?

The NPI number for Ultimate Sports Regenerative Medicine is 1366989931. It was assigned to this organization in the NPPES registry on January 20, 2017.

Where is Ultimate Sports Regenerative Medicine located?

Ultimate Sports Regenerative Medicine is located at 1098 W. South Jordan Pkwy Suite 101, South Jordan, UT 84095. The listed phone number is (801) 254-5800.

What is Ultimate Sports Regenerative Medicine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Ultimate Sports Regenerative Medicine was last updated on January 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.