Total Back and Body Center, PLLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

CH0006729 Issued in FL

Legal business name

TOTAL BACK AND BODY CENTER, PLLC

Practice address

1228 SE Port St Lucie Blvd
Port St Lucie, FL 34952-5330

Phone

(772) 878-9355

Fax

(772) 398-4988

NPI assigned

Jun 25, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kelly M Meredith, DCNPI 1538176151

Title

Owner

Phone

(772) 878-9355

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly M Meredith, D.C.

  • Chiropractor
  • Port Saint Lucie, FL
  • NPI 1538176151
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1710298666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525330",
            "telephone_number": "772-878-9355",
            "fax_number": "772-398-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 SE PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349525330",
            "telephone_number": "772-878-9355",
            "fax_number": "772-398-4988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BACK AND BODY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MEREDITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-878-9355",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "CH0006729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todor Toromanovski, M.D.
• Adisleyvi Torres Diaz
• Angelica Torres
• Leana Torrez, LMHC
• Karin Torsiello, BCBA
• Total MD Orthopedics & Neurosurgery
• Total TLC Transport Inc
• Touch of Grace Assisting Living Facility, Inc
• Brittany K Touris
• Scott Randall Towbin, M.D.

• Health Service Clinic/Center in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.