Organization Active NPI

Interventional Spine and Pain Rehabilitation Center, LTD.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Mansfield, OH
National Provider Identifier
1053596205
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
34.007293 Issued in OH
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

Updated by the provider on Jul 2, 2025

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)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2258560MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2017658Interventional Spine & Pain Rehabilitation1221 S Trimble Road, Suite B1, Mansfield, OH 44907Certificate of waiverDec 14, 2026

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.