Ultimate Sports Regenerative Medicine is a
Nurse Practitioner based in South Jordan, Utah. Ultimate Sports Regenerative Medicine is licensed to practice in Utah (license number 347183-4405) and their current practice location is
1098 W. South Jordan Pkwy, Suite 101, South Jordan, Utah. It can be reached at their office (for appointments etc.) via phone at
(801) 254-5800.
NPI number for Ultimate Sports Regenerative Medicine is 1366989931 and their current mailing address is 1098 W South Jordan Pkwy, Suite 101, South Jordan, Utah. Ultimate Sports Regenerative Medicine
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1366989931.
Healthcare Provider's Profile
Full Name | Ultimate Sports Regenerative Medicine |
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Type | Facility |
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Speciality | Nurse Practitioner |
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Location | 1098 W. South Jordan Pkwy, South Jordan, Utah |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366989931
- Provider Enumeration Date: 01/20/2017
- Last Update Date: 01/20/2017
Medical Identifiers
Medical identifiers for Ultimate Sports Regenerative Medicine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366989931 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111NI0013X | Chiropractor - Independent Medical Examiner | 7058178-1202 (Utah) | Secondary |
363L00000X | Nurse Practitioner | 347183-4405 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ultimate Sports Regenerative Medicine is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ultimate Sports Regenerative Medicine 1098 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095-9366 Ph: (801) 254-5800 | Ultimate Sports Regenerative Medicine 1098 W. South Jordan Pkwy, Suite 101, South Jordan, UT 84095 Ph: (801) 254-5800 |
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