Michael T Kelly Dc PA
NPI 1053669788ActiveOrganization· Chiropractor· Port St Lucie, FL
Chiropractor in Port St Lucie, Florida, registered in NPPES in August 2012. The authorized official on file is Michael T. Kelly, D.C, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053669788 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2012 |
| Last updated in NPPES | Feb 26, 2025 |
| Certified by provider | Feb 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | CH0007060 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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