Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Lennon Gutierrez, PT

Individual provider Physical Therapist · NPI 1689528275

Jacob Lennon Gutierrez, PT is a Physical Therapist in Private Practice in Bradenton, Florida. Qualified in 2023, 3 years ago. Practices with Back in Motion Sarasota Physical Therapy Pl, a 6-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
3
Licensed in
FL
In the registry since
2026
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

104 53rd Ave E
Bradenton, FL 34203-4702
Phone: (941) 925-2700
Fax: (941) 925-7744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT44296 (FL)

Record details

NPI number1689528275
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorYes
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Back In Motion Sarasota Physical Therapy Pl — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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