Live Young PLLC
NPI 1073962114 · Primary Care Clinic/Center · Port St Lucie, FL
Live Young PLLC is a Primary Care Clinic/Center organization in Port St Lucie, FL (NPI 1073962114).
Provider details
- NPI number
- 1073962114
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Timothy Kennedy, Owner(772) 212-1111
- License
- CH11346 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Other names (DBA / former)
- Doing business as
- Live Young Chiropractic
- Doing business as
- Live Young Chiropractic
Registry dates
- Enumerated
- 2016-06-09
- Last updated
- 2019-02-12
Frequently asked questions
- What is Live Young PLLC's NPI number?
- Live Young PLLC's National Provider Identifier (NPI) is 1073962114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Live Young PLLC?
- Live Young PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Live Young PLLC located?
- Live Young PLLC's practice location on file with NPPES is 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986-1927.
- What is Live Young PLLC's phone number?
- The practice phone number listed in the NPPES registry for Live Young PLLC is (772) 212-1111.
- Who is the authorized official for Live Young PLLC?
- The authorized official listed on Live Young PLLC's NPPES record is Timothy Kennedy, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Live Young PLLC's NPI active?
- Yes — Live Young PLLC's NPI (1073962114) is active in the NPPES registry as of the last update on 2019-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.