Michiana Spine, Sports & Occupational Rehab, PC
NPI 1912074659 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Mishawaka, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michiana Spine, Sports & Occupational Rehab, PC is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Mishawaka, IN (NPI 1912074659).
Provider details
- NPI number
- 1912074659
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kevin Drew, President(574) 252-4150
- License
- 01042863 (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2022-11-03
- Certified
- 2022-11-03
Frequently asked questions
- What is Michiana Spine, Sports & Occupational Rehab, PC's NPI number?
- Michiana Spine, Sports & Occupational Rehab, PC's National Provider Identifier (NPI) is 1912074659, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Michiana Spine, Sports & Occupational Rehab, PC?
- Michiana Spine, Sports & Occupational Rehab, PC is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Michiana Spine, Sports & Occupational Rehab, PC located?
- Michiana Spine, Sports & Occupational Rehab, PC's practice location on file with NPPES is 3740 Edison Lakes Pkwy, Mishawaka, IN 46545-3474.
- What is Michiana Spine, Sports & Occupational Rehab, PC's phone number?
- The practice phone number listed in the NPPES registry for Michiana Spine, Sports & Occupational Rehab, PC is (574) 252-4150.
- Does Michiana Spine, Sports & Occupational Rehab, PC accept Medicare?
- Michiana Spine, Sports & Occupational Rehab, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Michiana Spine, Sports & Occupational Rehab, PC?
- The authorized official listed on Michiana Spine, Sports & Occupational Rehab, PC's NPPES record is Kevin Drew, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Michiana Spine, Sports & Occupational Rehab, PC's NPI active?
- Yes — Michiana Spine, Sports & Occupational Rehab, PC's NPI (1912074659) is active in the NPPES registry as of the last update on 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.