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

Spine and Regenerative Medicine PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1841188364

Spine and Regenerative Medicine PLLC is a Physical Medicine & Rehabilitation Physician in Phoenix, Arizona. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11030 N Tatum Blvd Bldg F Ste 101
Phoenix, AZ 85028-6073
Phone: (602) 889-9880
Fax: (480) 393-7444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1841188364
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Gaitan — Owner · (602) 889-9880
NPI enumeratedJune 24, 2025
Last updated in NPPESJune 24, 2025
Certification dateJune 24, 2025
Mailing address11030 N Tatum Blvd, Bldg F, Suite 101, Phoenix, AZ 85028-6073

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