FULL BLOOM CHIROPRACTIC CORP
NPI 1144460726
Chiropractor in St Augustine, FL
About Full Bloom Chiropractic Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FULL BLOOM CHIROPRACTIC CORP (NPI 1144460726) is a healthcare organization registered as a chiropractor in St Augustine, Florida and active in the NPI registry since February 2009. The organization lists Ryan Gutierrez, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Full Bloom Chiropractic Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Full Bloom Chiropractic Corp, which bills Medicare for the services this clinician delivers.
Clinician (1)
St. Augustine, FL 32092
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Full Bloom Chiropractic Corp's NPI number?
The NPI number for Full Bloom Chiropractic Corp is 1144460726. It was assigned to this organization in the NPPES registry on February 23, 2009.
Where is Full Bloom Chiropractic Corp located?
Full Bloom Chiropractic Corp is located at 115 Land Grant St Ste 3, St Augustine, FL 32092. The listed phone number is (904) 481-8552.
What is Full Bloom Chiropractic Corp's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Full Bloom Chiropractic Corp enrolled in Medicare?
Yes. Full Bloom Chiropractic Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Full Bloom Chiropractic Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Full Bloom Chiropractic Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Full Bloom Chiropractic Corp was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Full Bloom Chiropractic Corp · NPI 1144460726
Chiropractor organization in St Augustine, Florida. Organization record, active in the CMS NPPES registry since February 23, 2009.
## Identity
- **NPI:** 1144460726 (Entity type: Organization)
- **Enumerated:** February 23, 2009
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Ryan Gutierrez, PRESIDENT
## Practice location
- **Address:** 115 LAND GRANT ST STE 3, St Augustine, FL 32092-3845
- **Phone:** (904) 481-8552
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 8, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1144460726) · Data from the CMS NPPES public registry.