Ultimate Sports Regenerative Medicine
NPI 1366989931ActiveOrganization· Nurse Practitioner· South Jordan, UT
Nurse Practitioner in South Jordan, Utah, registered in NPPES in January 2017, part of Ultimate Sports Regenerative Medicine. The authorized official on file is Patrick Garcia, Direct Owner.
Overview
| NPI | 1366989931 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Ultimate Sports Regenerative Medicine |
| NPI issued | Jan 20, 2017 |
| Last updated in NPPES | Jan 20, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 347183-4405 | UT |
| Chiropractor, Independent Medical Examiner | 111NI0013X | 7058178-1202 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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