OrganizationActive
Total Back and Body Center, PLLC
NPI 1710298666 · Health Service Clinic/Center · Port St Lucie, FL
Provider details
- NPI number
- 1710298666
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kelly Meredith, Owner(772) 878-9355
- License
- CH0006729 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
1228 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5330
Phone: (772) 878-9355
Fax: (772) 398-4988
Street-level locationGet directions
Mailing address
1228 Se Port St Lucie Blvd
Port St Lucie, FL 34952-5330
Registry dates
- Enumerated
- 2010-06-25
- Last updated
- 2020-10-06
- Certified
- 2020-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.