OrganizationActive
Michael T Kelly DC PA
NPI 1053669788 · Chiropractor · Port St Lucie, FL
Provider details
- NPI number
- 1053669788
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Michael Kelly, Owner(772) 785-8500
- License
- CH0007060 (FL)
Specialties & taxonomies
Chiropractic Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1295 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5365
Phone: (772) 785-8500
Fax: (772) 785-8511
Street-level locationGet directions
Mailing address
1295 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5365
Registry dates
- Enumerated
- 2012-08-28
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.