EDWARD GUTIERREZ PT
NPI 1083093710
Physical Therapist in Stockton, CA

Active since May 27, 2015Accepts Medicare Assignment
1716 W HAMMER LN, STOCKTON, CA 95209(209) 473-2383(209) 473-1350 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2021, Apr 27, 2021 (2 updates tracked since 2021).

About Edward Gutierrez Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDWARD GUTIERREZ PT (NPI 1083093710) is an individual physical therapist in Stockton, California, licensed in California (42546) and active in the NPI registry since May 2015. He is a graduate of Other (2014).

NPPES Registry Identity

NPI1083093710
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameEDWARD GUTIERREZCredential: PT
Location Address1716 W HAMMER LNStockton, CA 95209-2922
Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-4101
Fax(209) 473-1350
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2015
Last NPPES UpdateDecember 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 27, 2021
✔ NPI 1083093710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CA · 42546
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1716 W HAMMER LN, Stockton, CA 95209

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Edward Gutierrez Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42521239
PECOS Enrollment IDI20150615000870

Medicare Billing Reassignments

2

Medicare enrollment records show Edward Gutierrez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Physical Therapist
801 STERLING PKWY, STE 150
Lincoln, CA 95648
  • Reassigned Medicare billing, California enrollment
  • 19 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1716 W HAMMER LN
STOCKTON, CA 95209
Physical Therapist
1716 W HAMMER LN
STOCKTON, CA 95209
Physical Therapist
1716 W HAMMER LN
STOCKTON, CA 95209
Physical Therapist
1716 W HAMMER LN
STOCKTON, CA 95209
Physical Therapist
1716 W HAMMER LN
STOCKTON, CA 95209
Physical Therapist
1716 W HAMMER LN
STOCKTON, CA 95209
Physical Therapist
1716 W HAMMER LN
STOCKTON, CA 95209
Physical Therapist
1716 W HAMMER LN
STOCKTON, CA 95209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Gutierrez's NPI number?

The NPI number for Edward Gutierrez is 1083093710. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Edward Gutierrez located?

Edward Gutierrez practices at 1716 W Hammer Ln, Stockton, CA 95209. The listed phone number is (209) 473-2383.

What is Edward Gutierrez's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Edward Gutierrez enrolled in Medicare?

Yes. Edward Gutierrez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Edward Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Gutierrez reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (Stockton, CA) and Schaack Physical Therapy PC (Lincoln, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Edward Gutierrez was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.