Interventional and Functional Pain Center

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INTERVENTIONAL AND FUNCTIONAL PAIN CENTER

Practice address

1150 Reservoir Ave Ste 200
Cranston, RI 02920-6043

Phone

(347) 310-0149

NPI assigned

Sep 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Juan Carlos Mirt

Title

Owner

Phone

(401) 648-6100

Specialties & licenses 1

Addresses

Tax ID family

Interventional and Functional Pain Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Interventional and Functional Pain Center

  • Durable Medical Equipment & Medical Supplies
  • Cranston, RI
  • NPI 1881385961
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1356127773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 200",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206043",
            "telephone_number": "347-310-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 RESERVOIR AVE STE 200",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029206043",
            "telephone_number": "347-310-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL AND FUNCTIONAL PAIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "MIRT",
        "authorized_official_first_name": "JUAN CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "401-648-6100"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inner Peace Counseling, LLC
• Institute for Behavioral Medicine
• Integrated Psychiatry Incorporated
• Internal Medicine Associates Inc
• Interventional and Functional Pain Center
• Interventional and Functional Pain Center
• Sofia Irons, LCSW
• Alexandra Maria Irving, LMFT
• Liza Marie Izzo
• Maria Jablonski, O.D.

• Physical Therapy Clinic/Center in Cranston, RI
• Providers in Cranston, RI by specialty
• Physical Therapy Clinic/Center in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.