Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Joint Regenerative LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1417420126

Joint Regenerative LLC provides Sports Medicine (Orthopaedic Surgery) Physician services in Phoenix, Arizona. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4340 E Indian School Rd Ste 21-536
Phoenix, AZ 85018-5360
Phone: (602) 429-0404
Fax: (480) 603-3244
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1417420126
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lucinda Ricci — Administrator · (602) 429-0404
NPI enumeratedJanuary 4, 2019
Last updated in NPPESJanuary 4, 2019
Mailing address4340 E Indian School Rd Ste 21-536, Phoenix, AZ 85018-5360

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