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RYAN GUTIERREZ D.C.
NPI 1326244476
Chiropractor in St. Augustine, FL

Active since June 25, 2007
115 LAND GRANT ST. #3, ST. AUGUSTINE, FL 32092(904) 481-8552 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ryan Gutierrez D.c. NPPES

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

RYAN GUTIERREZ D.C. (NPI 1326244476) is an individual chiropractor in St. Augustine, Florida, licensed in New Mexico (1696) and active in the NPI registry since June 2007. He is a graduate of Palmer College Chiropractic - Davenport (2007).

NPPES Registry Identity

NPI1326244476
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameRYAN GUTIERREZCredential: D.C.
Location Address115 LAND GRANT ST. #3St. Augustine, FL 32092
Mailing Address115 Land Grant St., #3St. Augustine, FL 32092 · (904) 481-8552
Phone(904) 481-8552
Sole ProprietorNo
Medical School CMSPalmer College Chiropractic - DavenportGraduated 2007
Enumeration DateJune 25, 2007
Last NPPES UpdateJune 16, 2025
NPPES CertifiedMay 28, 2025
✔ NPI 1326244476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NM · 1696
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ryan Gutierrez D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951467596
PECOS Enrollment IDI20260629004749

Medicare Billing Reassignment

Medicare enrollment records show Ryan Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Full Bloom Chiropractic Corp
Chiropractor
115 LAND GRANT ST STE 3
St Augustine, FL 32092
  • Reassigned Medicare billing, Florida enrollment
NPI 1144460726 (904) 481-8552

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
825 services86 patients

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 Ryan Gutierrez's NPI number?

The NPI number for Ryan Gutierrez is 1326244476. It was assigned to this individual provider in the NPPES registry on June 25, 2007.

Where is Ryan Gutierrez located?

Ryan Gutierrez practices at 115 Land Grant St. #3, St. Augustine, FL 32092. The listed phone number is (904) 481-8552.

What is Ryan Gutierrez's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ryan Gutierrez enrolled in Medicare?

Yes. Ryan Gutierrez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Gutierrez reassigns Medicare benefits to Full Bloom Chiropractic Corp (St Augustine, FL). The 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 Ryan 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 Ryan Gutierrez was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.