Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Joint Regenerative LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1417420126

Joint Regenerative LLC is a Sports Medicine (Orthopaedic Surgery) Physician 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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