THE SPORTS MED SPA LLC
NPI 1679453781
Physician Assistant in West Jordan, UT

Q: What is The Sports Med Spa LLC's NPI number?

The NPI number for The Sports Med Spa LLC is 1679453781. It was assigned to this organization in the NPPES registry on September 8, 2025.

Q: What is The Sports Med Spa LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since September 08, 2025

3580 W 9000 S, WEST JORDAN, UT 84088(801) 448-2218 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About The Sports Med Spa Llc NPPES

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

THE SPORTS MED SPA LLC (NPI 1679453781) is a healthcare organization registered as a physician assistant in West Jordan, Utah and active in the NPI registry since September 2025. The organization lists Gibran Borja, Owner, as its authorized official.

NPPES Registry Identity

NPI1679453781

Entity TypeOrganization

Primary Taxonomy363A00000X

Legal Business NameTHE SPORTS MED SPA LLC

Location Address3580 W 9000 SWest Jordan, UT 84088-8812

Mailing Address4645 W S Jordan PkwySouth Jordan, UT 84009-5761

Phone(801) 448-2218

Organization SubpartNo

Authorized OfficialGibran BorjaOwner · (801) 448-2218

Enumeration DateSeptember 8, 2025

Last NPPES UpdateOctober 16, 2025

NPPES CertifiedOctober 16, 2025

✔ NPI 1679453781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

3580 W 9000 S, West Jordan, UT 84088

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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 20

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

BARBARA LOADER

General Acute Care Hospital

3580 W 9000 S
WEST JORDAN, UT 84088

Salt Lake County (801) 561-8888

MICHAEL L TAYLOR ANESTHESIOLOGY PLLC

Anesthesiology

3580 W 9000 S, JORDAN VALLEY MEDICAL CENTER DEPT OF ANESTHESIOLOGY
WEST JORDAN, UT 84088

Salt Lake County (801) 561-8888

DUSTIN E COYLE MD PC

Anesthesiology

3580 W 9000 S
WEST JORDAN, UT 84088

Salt Lake County (801) 993-5872

DR. CARDIN HARRIS BELL M.D.

Anesthesiology

3580 W 9000 S
WEST JORDAN, UT 84088

Salt Lake County (801) 561-8888

RYAN GILES MD

Emergency Medicine

3580 W 9000 S
WEST JORDAN, UT 84088

Salt Lake County (801) 561-8888

JOSEPH E MORGAN MD

Anesthesiology

3580 W 9000 S
WEST JORDAN, UT 84088

Salt Lake County (801) 993-9527

WADE T. SMITH, DO

Anesthesiology

3580 W 9000 S
WEST JORDAN, UT 84088

Salt Lake County (801) 993-9527

JORDAN VALLEY MEDICAL CENTER LP

General Acute Care Hospital

3580 W 9000 S
WEST JORDAN, UT 84088

Salt Lake County (801) 561-8888

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 The Sports Med Spa LLC's NPI number?

The NPI number for The Sports Med Spa LLC is 1679453781. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is The Sports Med Spa LLC located?

The Sports Med Spa LLC is located at 3580 W 9000 S, West Jordan, UT 84088. The listed phone number is (801) 448-2218.

What is The Sports Med Spa LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for The Sports Med Spa LLC was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.