Organization Active NPI

Ryan Ohl, DC, PA

  • Chiropractor
  • Fernandina Beach, FL
National Provider Identifier
1477423218
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RYAN OHL, DC, PA
Practice address
5211 S Fletcher Ave Ste 250
Fernandina Beach, FL 32034-5375
Phone
(419) 296-7874
NPI assigned
Nov 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Authorized official

Name
Ryan Ohl, DCNPI 1093002560
Title
Owner
Phone
(419) 296-7874

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

5211 S Fletcher Ave Ste 250
Fernandina Beach, FL 32034-5375

Mailing address

5211 S Fletcher Ave Ste 250
Fernandina Beach, FL 32034-5375
Phone (904) 310-6437

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251210000589 FL Part B Supplier - Clinic/Group Practice 4486148228 Receives reassigned benefits from 1 practitioner
Practice locations: Fernandina Beach, FL

National Provider Directory

National Provider Directory

Locations

5211 S Fletcher Ave
Ste 250
Fernandina Beach, FL 32034
Phone (904) 310-6437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1762473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1477423218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 S FLETCHER AVE STE 250",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345375",
            "telephone_number": "904-310-6437",
            "fax_number": "904-263-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5211 S FLETCHER AVE STE 250",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320345375",
            "telephone_number": "419-296-7874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN OHL, DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-07",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "OHL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-296-7874",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.