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INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
NPI 1184978280
Clinic/Center - Ambulatory Surgical in Sartell, MN

Active since October 29, 2012
2301 CONNECTICUT AVE S, SARTELL, MN 56377(320) 229-1500(320) 229-1505 Get Directions Write a Review

NPPES record last updated: October 29, 2012. 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 1184978280) is a healthcare organization registered as an ambulatory surgical in Sartell, Minnesota and active in the NPI registry since October 2012. The organization lists Stacy Kowalkowski, Administrator, as its authorized official.

NPPES Registry Identity

NPI1184978280
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameINTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
Location Address2301 CONNECTICUT AVE SSartell, MN 56377-2474
Mailing Address2301 Connecticut Ave SSartell, MN 56377-2474 · (320) 229-1500 · Fax (320) 229-1505
Phone(320) 229-1500
Fax(320) 229-1505
Organization SubpartNo
Authorized OfficialStacy KowalkowskiAdministrator · (320) 229-1500
Enumeration DateOctober 29, 2012
✔ NPI 1184978280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2301 CONNECTICUT AVE S, Sartell, MN 56377
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Other Providers at the Same Location NPPES 7

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

INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Stearns County (320) 229-1500
CAROLYNE KUKLA DPT
Physical Therapist
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Stearns County (320) 229-1500
DR. MATTHEW THOMAS BALTUS DPT
Physical Therapist
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Stearns County (320) 229-1500
TIMOTHY JEROME BINSFELD DPT
Physical Therapist
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Stearns County (320) 229-1500
INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
Durable Medical Equipment & Medical Supplies
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Stearns County (320) 229-1500
MRS. MICHELLE MARIE BURTON DPT
Physical Therapist
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Stearns County (320) 229-1500
KASI ZACK CNP
Nurse Practitioner (Family)
2301 CONNECTICUT AVE S
SARTELL, MN 56377
Stearns County (320) 229-1500

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 1184978280. It was assigned to this organization in the NPPES registry on October 29, 2012.

Where is Interventional Pain & Physical Medicine Clinic located?

Interventional Pain & Physical Medicine Clinic is located at 2301 Connecticut Ave S, 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 Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Interventional Pain & Physical Medicine Clinic was last updated on October 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.