INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
NPI 1013056969
Clinic/Center - Pain in Sartell, MN

Active since February 06, 2007
2301 CONNECTICUT AVENUE SOUTH, SARTELL, MN 56377(320) 229-1500(320) 229-1505 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Interventional Pain & Physical Medicine Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC (NPI 1013056969) is a healthcare organization registered as a pain in Sartell, Minnesota and active in the NPI registry since February 2007. The organization lists Stacy Kowalkowski, Administrator, as its authorized official.

NPPES Registry Identity

NPI1013056969
Entity TypeOrganization
Primary Taxonomy261QP3300X
Legal Business NameINTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
Location Address2301 CONNECTICUT AVENUE SOUTHSartell, MN 56377-2474
Mailing Address2301 Connecticut Avenue SouthSartell, MN 56377-2474 · (320) 229-1500 · Fax (320) 229-1505
Fax(320) 229-1505
Organization SubpartNo
Authorized OfficialStacy KowalkowskiAdministrator · (320) 229-1500
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 14, 2015
NPI 1013056969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyClinic/Center · PainAmbulatory Health Care Facilities
Taxonomy Code261QP3300X
License Licensed in MN · 41961
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 41961 (MN)
Also ListedPain Medicine · Interventional Pain MedicineTaxonomy 208VP0014X · License 41961 (MN)
Also ListedClinic/Center · Physical TherapyTaxonomy 261QP2000X · License 41961 (MN)
2301 CONNECTICUT AVENUE SOUTH, Sartell, MN 56377

Other Identifiers 4

Medicare UPINH31283MN
Medicaid410645800MN
OtherC03449MN · Medicare Ptan
Medicare PIN090000014MN

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pain Medicine (Interventional Pain Medicine)
2301 CONNECTICUT AVENUE SOUTH
SARTELL, MN 56377

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Interventional Pain & Physical Medicine Clinic's NPI number?

The NPI number for Interventional Pain & Physical Medicine Clinic is 1013056969. It was assigned to this organization in the NPPES registry on February 6, 2007.

Where is Interventional Pain & Physical Medicine Clinic located?

Interventional Pain & Physical Medicine Clinic is located at 2301 Connecticut Avenue South, Sartell, MN 56377. The listed phone number is (320) 229-1500.

What is Interventional Pain & Physical Medicine Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Pain, with taxonomy code 261QP3300X.

What insurance does Interventional Pain & Physical Medicine Clinic accept?

Health plans from Medica list Interventional Pain & Physical Medicine Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Interventional Pain & Physical Medicine Clinic was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.