Joint Regenerative LLC

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

Legal business name

JOINT REGENERATIVE LLC

Practice address

4340 E Indian School Rd Ste 21-536
Phoenix, AZ 85018-5360

Phone

(602) 429-0404

Fax

(480) 603-3244

NPI assigned

Jan 4, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lucinda Ricci

Title

Administrator

Phone

(602) 429-0404

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angelo James Mattalino, M.D.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Scottsdale, AZ
  • NPI 1770689671
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1417420126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD STE 21-536",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185360",
            "telephone_number": "602-429-0404",
            "fax_number": "480-603-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E INDIAN SCHOOL RD STE 21-536",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185360",
            "telephone_number": "602-429-0404",
            "fax_number": "480-603-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOINT REGENERATIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "RICCI",
        "authorized_official_first_name": "LUCINDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-429-0404"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Johs
• Krista Joiner
• Joint Effort Spine Rehabilitation (Joint Effort Physical Therapy)
• Joint Effort Spine Rehabilitation, LLC
• Joint Performance Inc
• Mary Minu Joji, MSN,FNP-C
• Breanne Jojola, BCBA
• Deepthy Jolal, NP
• Sandra Jolley, LMT
• Tyson Max Jolley, DMD

• Sports Medicine (Orthopaedic Surgery) Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.