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MICHAEL T KELLY DC PA
NPI 1053669788
Chiropractor in Port St Lucie, FL

Active since August 28, 2012
1295 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952(772) 785-8500(772) 785-8511 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michael T Kelly Dc Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL T KELLY DC PA (NPI 1053669788) is a healthcare organization registered as a chiropractor in Port St Lucie, Florida and active in the NPI registry since August 2012. The organization lists Michael T Kelly, Owner, as its authorized official.

NPPES Registry Identity

NPI1053669788
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameMICHAEL T KELLY DC PA
Location Address1295 SE PORT ST LUCIE BLVDPort St Lucie, FL 34952-5365
Mailing Address1295 Se Port St Lucie BlvdPort St Lucie, FL 34952-5365 · (772) 785-8500 · Fax (772) 785-8511
Phone(772) 785-8500
Fax(772) 785-8511
Organization SubpartNo
Authorized OfficialMichael T KellyOwner · (772) 785-8500
Enumeration DateAugust 28, 2012
Last NPPES UpdateFebruary 26, 2025
NPPES CertifiedFebruary 26, 2025
✔ NPI 1053669788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in FL · CH0007060
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1295 SE PORT ST LUCIE BLVD, Port St Lucie, FL 34952
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEELE SPINES CHIROPRACTIC PLLC
Chiropractor
1295 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 785-8500
DR. MICHAEL TIMOTHY KELLY D.C.
Chiropractor
1295 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952
St. Lucie County (772) 785-8500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael T Kelly Dc PA's NPI number?

The NPI number for Michael T Kelly Dc PA is 1053669788. It was assigned to this organization in the NPPES registry on August 28, 2012.

Where is Michael T Kelly Dc PA located?

Michael T Kelly Dc PA is located at 1295 SE Port St Lucie Blvd, Port St Lucie, FL 34952. The listed phone number is (772) 785-8500.

What is Michael T Kelly Dc PA's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Michael T Kelly Dc PA was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.