RJG Coastal Chiropractic P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 10579 Issued in FL

Legal business name

RJG COASTAL CHIROPRACTIC P.A.

Doing business as

Healthsource of Destin

Practice address

11964 Boyette Rd
Riverview, FL 33569-5601

Phone

(813) 540-7270

Fax

(813) 671-9045

NPI assigned

Nov 7, 2012

Last updated

Jun 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ryan James Garcia, DCNPI 1164795142

Title

President

Phone

(813) 540-7270

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Healthsource of Destin Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan James Garcia, D.C.

  • Chiropractor
  • Riverview, FL
  • NPI 1164795142
  Authorized official Same address or phone
• Thomas F Kracht Jr., DC

  • Chiropractor
  • Destin, FL
  • NPI 1598807042
  NPD (past)

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

{
    "created_epoch": "1352246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1164776514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11964 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-540-7270",
            "fax_number": "813-671-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11964 BOYETTE RD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335695601",
            "telephone_number": "813-540-7270",
            "fax_number": "813-671-9045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJG COASTAL CHIROPRACTIC P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-07",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-540-7270",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3632568",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "GM 188Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthsource of Destin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverview Wellness LLC
• Gianni Marie Rizo
• Crystal Rizzo
• D'Najh L Rizzo, BEHAVIOR TECHNICIAN
• Jennifer Lauren Rizzo, MD
• Alysia Roach, PHARMD
• Robbins - Pierre-Val & Associates Limited Liability Company
• Devenie Jakarra Robbins, ARNP, FNP-C
• Diana Rober, M.A., BCBA
• Robert a. Norman, D.O., P.a. (Dr. Robert A. Norman Dermatology)

• Chiropractor in Riverview, FL
• Providers in Riverview, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.