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St John Dynamic Spine Center

NPI 1598084980ActiveOrganization· Physical Medicine & Rehabilitation· Warren, MI

Physical Medicine & Rehabilitation in Warren, Michigan, registered in NPPES in May 2010. The authorized official on file is Becky McDonald, Vice President.

Overview

NPI1598084980
StatusActive
Entity typeOrganization
NPI issuedMay 25, 2010
Last updated in NPPESMay 25, 2010

Specialties and licenses

TaxonomyCodeLicenseState
Physical Medicine & Rehabilitation Primary208100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other physiatrists in Warren

All 21 physiatrists in Warren · All physiatrists in Michigan