OrganizationActive
Michiana Spine, Sports & Occupational Rehab, PC
NPI 1407115884 · Interventional Pain Medicine Physician · Saint Joseph, MI
Provider details
- NPI number
- 1407115884
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Drew, Owner(574) 252-4150
- License
- 4301070312 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2500 Niles Rd Ste 3
Saint Joseph, MI 49085-3225
Phone: (574) 252-4150
Fax: (574) 252-4159
Street-level locationGet directions
Mailing address
3740 Edison Lakes Pkwy
Mishawaka, IN 46545-3474
Registry dates
- Enumerated
- 2012-05-07
- Last updated
- 2022-11-03
- Certified
- 2022-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.