Timothy Michael Kennedy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH11346 Issued in FL

Practice address

1680 SW Saint Lucie West Blvd Ste 202
Port St Lucie, FL 34986-1927

Phone

(772) 212-1111

Fax

(772) 212-0201

NPI assigned

Nov 5, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Royal Palm Beach Rehab, CorpGroup PAC ID 3476683335, 62 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

29.16 of 100Reported as group

Quality

0

Promoting interoperability

59

Improvement activities

0

Cost

48.04

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Freedom Health HMO Network

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Royal Palm Beach Rehab, Corp

  dba Action Physical Therapy

  • Chiropractor
  • Royal Palm Beach, FL
  • NPI 1861724783
  Medicare reassignment Care Compare group NPD
• Royal Palm Beach Rehab Corp

  dba Action Physical Therapy

  • Chiropractor
  • Greenacres, FL
  • NPI 1811625320
  NPD
• Royal Palm Beach Rehab, Corp

  • Chiropractor
  • Miami, FL
  • NPI 1891668182
  NPD
• Royal Palm Beach Rehab, Corp

  dba Action Physical

  • Chiropractor
  • Boynton Beach, FL
  • NPI 1720310352
  NPD (past)

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752451200000",
    "number": "1750787586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 SE FISK RD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349848920",
            "telephone_number": "860-883-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 SW SAINT LUCIE WEST BLVD STE 202",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349861927",
            "telephone_number": "772-212-1111",
            "fax_number": "772-212-0201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 SE Monterey Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349944512",
            "country_code": "US",
            "telephone_number": "772-212-1111",
            "fax_number": "772-212-0201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "TIMOTHY",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-05",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH11346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carissa Kelly
• Christine Kelly, RN
• Kristy Kelly
• Line Kemeyou, MD
• Maureen Kennedy
• Kenneth J Gold MD PA
• Kimberly Kenney
• Aaron Kent, PHYSICIAN ASSISTANT
• Sharon Kentish, COTA
• Nicole Victoria Kenyon

• Chiropractor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.