Active NPI
Jacob Lennon Gutierrez, PT
- Physical Therapist
- Bradenton, FL
National Provider Identifier
1689528275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT44296
- Practice address
- 104 53Rd Ave E
Bradenton, FL 34203-4702 - Phone
- (941) 925-2700
- Fax
- (941) 925-7744
- NPI assigned
- Feb 23, 2026
- Last updated
- Feb 23, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT44296 | FL | Primary |
Addresses
Primary practice location
104 53Rd Ave E
Bradenton, FL 34203-4702
Mailing address
PO Box 25066
Sarasota, FL 34277-2066
Phone (941) 925-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3920 Bee Ridge Rd
Unit G
Sarasota, FL 34233-1207
Phone (941) 925-2700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT44296 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Back in Motion Sarasota Physical | Physical Therapist | Current | Accepting new patients |
Locations
104 53rd Ave E
Bradenton, FL 34203
Phone (941) 666-2239
3920 Bee Ridge Rd
Ste E-G
Sarasota, FL 34233
Phone (941) 925-2700
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1689528275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25066",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342772066",
"telephone_number": "941-925-2700",
"fax_number": "941-925-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 53RD AVE E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342034702",
"telephone_number": "941-925-2700",
"fax_number": "941-925-7744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "JACOB",
"middle_name": "LENNON",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT44296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.