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

Ultimate Sports Regenerative Medicine

Organization Independent Medical Examiner Chiropractor · NPI 1366989931

Ultimate Sports Regenerative Medicine is an Independent Medical Examiner Chiropractor in South Jordan, Utah. Licensed in Utah. Registered with an NPI since 2017.

Licensed in
UT
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1098 W South Jordan Pkwy Ste 101
South Jordan, UT 84095
Phone: (801) 254-5800
Fax: (801) 254-1696
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 347183-4405 (UT)
Independent Medical Examiner Chiropractor Taxonomy 111NI0013X · Licence 7058178-1202 (UT)

Record details

NPI number1366989931
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationUltimate Sports Regenerative Medicine
Authorized official Patrick Garcia — Direct Owner · (801) 254-5800
NPI enumeratedJanuary 20, 2017
Last updated in NPPESJanuary 20, 2017
Mailing address1098 W South Jordan Pkwy, Suite 101, South Jordan, UT 84095-9366