SPINAL RECOVERY CENTER – Rehabilitation Chiropractor, NPI 1265713242

SPINAL RECOVERY CENTER is a healthcare provider. based in Warren, Michigan. specializing in Rehabilitation Chiropractor. The organization holds a License No. 4301093657 (MI). The NPI Number for SPINAL RECOVERY CENTER is 1265713242

Main info

Organization
Name
SPINAL RECOVERY CENTER
NPI
1265713242
Phone
(586) 573-8100
Address
2243 E 12 MILE RD
Authorized Official
JOHN PISPIDIKIS ADMINISTRATOR DC
Enumeration Date
2 September 2011
Last Update Date
28 January 2014
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness80
Years active:14State licenses:2Digital endpointsUpdated within 12 months

Provider Addresses for SPINAL RECOVERY CENTER

  • 2243 E 12 MILE RD

    WARREN, MI 480925644

    Phone: (586) 573-8100

    Fax: (586) 573-8101

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-12-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2024-08-31 (649 days ago).

Enrollment records

2

Earliest due date

2024-08-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20120405000181OClinic/Group PracticeMI2026-05-31
O20141203002581OPhysician - AnesthesiologyMI2024-08-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48092)

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Reviews

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Frequently asked questions

How do I look up SPINAL RECOVERY CENTER by NPI?
Use NPI 1265713242 when you need to reference SPINAL RECOVERY CENTER in forms, claims, or directories.
Is SPINAL RECOVERY CENTER's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SPINAL RECOVERY CENTER list a primary specialty?
If you are matching referrals, note Rehabilitation Chiropractor for SPINAL RECOVERY CENTER. Clinical services aligned with this taxonomy classification.
What location shows for SPINAL RECOVERY CENTER?
We surface Warren, Michigan for SPINAL RECOVERY CENTER based on available NPPES addresses.
Is SPINAL RECOVERY CENTER a real provider?
This page reflects official NPPES data for NPI 1265713242. Always confirm identity and privileges with the practice and licensing boards.

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