What is The Sports Med Spa LLC's NPI number?

The Sports Med Spa LLC's National Provider Identifier (NPI) is 1679453781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is The Sports Med Spa LLC?

The Sports Med Spa LLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is The Sports Med Spa LLC located?

The Sports Med Spa LLC's practice location on file with NPPES is 3580 W 9000 S, West Jordan, UT 84088-8812.

What is The Sports Med Spa LLC's phone number?

The practice phone number listed in the NPPES registry for The Sports Med Spa LLC is (801) 448-2218.

Does The Sports Med Spa LLC accept Medicare?

The Sports Med Spa LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for The Sports Med Spa LLC?

The authorized official listed on The Sports Med Spa LLC's NPPES record is Gibran Borja, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is The Sports Med Spa LLC's NPI active?

Yes — The Sports Med Spa LLC's NPI (1679453781) is active in the NPPES registry as of the last update on 2025-10-16.

OrganizationActiveAccepts Medicare

The Sports Med Spa LLC

NPI 1679453781 · Physician Assistant · West Jordan, UT

The Sports Med Spa LLC is a Physician Assistant organization in West Jordan, UT (NPI 1679453781).

Provider details

NPI number: 1679453781
Entity type: Organization
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Organization subpart: No
Authorized official: Gibran Borja, Owner(801) 448-2218

Practice location

3580 W 9000 S

West Jordan, UT 84088-8812

Phone: (801) 448-2218

Street-level locationGet directions

More UT providers

Mailing address

4645 W S Jordan Pkwy

South Jordan, UT 84009-5761

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(55/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
1 yr in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2025-09-08
Last updated: 2025-10-16
Certified: 2025-10-16

Frequently asked questions

What is The Sports Med Spa LLC's NPI number?: The Sports Med Spa LLC's National Provider Identifier (NPI) is 1679453781, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is The Sports Med Spa LLC?: The Sports Med Spa LLC is classified in the NPPES registry as Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
Where is The Sports Med Spa LLC located?: The Sports Med Spa LLC's practice location on file with NPPES is 3580 W 9000 S, West Jordan, UT 84088-8812.
What is The Sports Med Spa LLC's phone number?: The practice phone number listed in the NPPES registry for The Sports Med Spa LLC is (801) 448-2218.
Does The Sports Med Spa LLC accept Medicare?: The Sports Med Spa LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for The Sports Med Spa LLC?: The authorized official listed on The Sports Med Spa LLC's NPPES record is Gibran Borja, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is The Sports Med Spa LLC's NPI active?: Yes — The Sports Med Spa LLC's NPI (1679453781) is active in the NPPES registry as of the last update on 2025-10-16.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions