Individual provider Active NPI

Christopher Robert Ristuccia, DC

  • Neurology Chiropractor
  • Port Orange, FL
National Provider Identifier
1063984128
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
CH12675 Issued in FL
Practice address
5889 S Williamson Blvd Ste 212
Port Orange, FL 32128-6111
Phone
(386) 689-4351
NPI assigned
Dec 28, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH12675 FL
Neurology Chiropractor 111NN0400X CH12675 FL Primary

Addresses

Primary practice location

5889 S Williamson Blvd Ste 212
Port Orange, FL 32128-6111

Mailing address

5889 S Williamson Blvd Ste 212
Port Orange, FL 32128-6111
Phone (386) 689-4351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210701002907 FL Practitioner - Chiropractic 9436550126 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Palmer College FoundationGroup PAC ID 1557266863, 44 clinicians
John D Lockenour D C IncGroup PAC ID 1951459056, 2 clinicians

Practice addresses (Care Compare)

4705 Clyde Morris Blvd
Port Orange, FL 32129-4103
Phone (386) 763-2718

5889 S Williamson Blvd
Suite 212
Port Orange, FL 32128-6111
Phone (386) 689-4351

5889 S Williamson Blvd
Suite 212
Port Orange, FL 32128-7134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Palmer College Foundation Chiropractor CurrentSince Jan 8, 2024 Accepting new patients
Clinical Acumen LLC. CurrentSince Oct 13, 2025 Accepting new patients
Palmer College Foundation Chiropractor CurrentSince Jan 8, 2024 Accepting new patients
John D Lockenour D C Inc Chiropractor CurrentSince Jul 1, 2024 Accepting new patients

Locations

311 N Clyde Morris Blvd
Ste 310
Daytona Beach, FL 32114
Phone (386) 257-6644

3780 S Nova Rd
Ste 6
Port Orange, FL 32129
Phone (386) 453-0683

5889 S Williamson Blvd
Ste 212
Port Orange, FL 32128
Phone (386) 293-4348

4705 Clyde Morris Blvd
Pt Orange, FL 32129
Phone (386) 763-2712

1000 Brady St
Davenport, IA 52803
Phone (563) 884-5800

Interoperability endpoints

  • Direct secure messaging: christopher.ristuccia@cccl.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1063984128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5889 S WILLIAMSON BLVD STE 212",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286111",
            "telephone_number": "386-689-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5889 S WILLIAMSON BLVD STE 212",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286111",
            "telephone_number": "386-689-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISTUCCIA",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12675",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "FL",
            "license": "CH12675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.