OrganizationActive
St John Dynamic Spine Center
NPI 1598084980 · Physical Medicine & Rehabilitation Physician · Warren, MI
Provider details
- NPI number
- 1598084980
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Becky Mcdonald, Vice President(248) 649-2323
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
31700 Van Dyke Ave
Suite 160
Warren, MI 48093-7949
Phone: (248) 649-2323
Fax: (248) 649-5998
Street-level locationGet directions
Mailing address
1800 W Big Beaver Rd
Troy, MI 48084-3545
Registry dates
- Enumerated
- 2010-05-25
- Last updated
- 2010-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.