Active NPI
Interventional Spine and Pain Rehabilitation Center, LTD.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Mansfield, OH
National Provider Identifier
1053596205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 34.007293
- Legal business name
- INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD.
- Practice address
- 1221 S Trimble Rd Ste B1
Mansfield, OH 44907-2212 - Phone
- (419) 522-1100
- Fax
- (419) 522-4118
- NPI assigned
- Jan 7, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Francis Stretanski, DO
- Title
- Medical Directror / Owner
- Phone
- (419) 522-1100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 34.007293 | OH | Primary |
Addresses
Primary practice location
1221 S Trimble Rd Ste B1
Mansfield, OH 44907-2212
Mailing address
1221 S Trimble Rd Ste B1
Mansfield, OH 44907-2212
Phone (419) 522-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2258560 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2017658 | Interventional Spine & Pain Rehabilitation | Certificate of waiver | Dec 14, 2026 |
National Provider Directory
National Provider DirectoryLocations
147 Schoolhouse Ln
Ste A
Columbus, OH 43228
Phone (419) 522-1100
165 N Trimble Rd
Mansfield, OH 44906
1221 S Trimble Rd
Ste B1
Mansfield, OH 44907
Phone (419) 522-1100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1053596205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S TRIMBLE RD STE B1",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072212",
"telephone_number": "419-522-1100",
"fax_number": "419-522-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 S TRIMBLE RD STE B1",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449072212",
"telephone_number": "419-522-1100",
"fax_number": "419-522-4118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-07",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A",
"authorized_official_last_name": "STRETANSKI",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "FRANCIS",
"authorized_official_title_or_position": "MEDICAL DIRECTROR / OWNER",
"authorized_official_telephone_number": "419-522-1100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "OH",
"license": "34.007293",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2258560",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.