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

Orthopaedic Regenerative Medicine, LLC

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1164043204

Orthopaedic Regenerative Medicine, LLC provides Sports Medicine (Orthopaedic Surgery) Physician services in Tempe, Arizona. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4765 S Lakeshore Dr
Tempe, AZ 85282-7197
Phone: (602) 429-0404
Show map & directions

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 number1164043204
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angelo Mattalino — Owner · (602) 429-0404
NPI enumeratedApril 29, 2020
Last updated in NPPESApril 29, 2020
Certification dateApril 29, 2020
Mailing address4400 N Scottsdale Rd # 9-844, Scottsdale, AZ 85251-3331