Interventional Pain & Physical Medicine Clinic in Sartell - Physical Therapy
Interventional Pain & Physical Medicine Clinic - NPI 1013056969
Interventional Pain & Physical Medicine Clinic is a Physical Therapy in Sartell, Minnesota. Interventional Pain & Physical Medicine Clinic practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Interventional Pain & Physical Medicine Clinic is 1013056969. The last update date is 2015-07-14.
Interventional Pain & Physical Medicine Clinic's current location address is 2301 Connecticut Avenue South, Sartell, Minnesota. You can contact this provider via phone number 3202291500 and fax number 3202291505. The mailing address for Interventional Pain & Physical Medicine Clinic is 2301 Connecticut Avenue South, Sartell, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Interventional Pain & Physical Medicine Clinic |
|---|---|
| Address | 2301 Connecticut Avenue South, Sartell, Minnesota |
| Phone Number | 3202291500 |
| Fax Number | 3202291505 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Kowalkowski Stacy |
| Credentials | R.N. |
| Telephone Number | 3202291500 |
NPI Number Detail
| NPI Number | 1013056969 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2015-07-14 |
Provider Mailing Address Detail
| Address | 2301 Connecticut Avenue South |
|---|---|
| City | Sartell |
| State | Minnesota (MN) |
| Post Code | 563772474 |
| Phone Number | 3202291500 |
| Fax Number | 3202291505 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
| Licence No | 41961 |
|
Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 410645800 | MN | -- | |
| C03449 | MN | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Interventional Pain & Physical Medicine Clinic by the Centers for Medicare & Medicaid Services (CMS)?
The Interventional Pain & Physical Medicine Clinic has been assigned the NPI (National Provider Identifier) 1013056969. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Interventional Pain & Physical Medicine Clinic's facilities are geographically located?
The facilities of Interventional Pain & Physical Medicine Clinic are physically situated at the following location: 2301 Connecticut Avenue South, Sartell, MN, 563772474.
What is Interventional Pain & Physical Medicine Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Interventional Pain & Physical Medicine Clinic is Physical Therapy, and the taxonomy code that classifies this field of practice is 261Qp2000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1013056969 to Interventional Pain & Physical Medicine Clinic?
The Interventional Pain & Physical Medicine Clinic received its 1013056969 assignment from the Centers for Medicare & Medicaid Services on 2007-02-06.
When was the information regarding Interventional Pain & Physical Medicine Clinic, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Interventional Pain & Physical Medicine Clinic, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-07-14.
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