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INTERVENTIONAL PAIN & PHYSICAL MEDICINE CLINIC
NPI 1265784862
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Sartell, MN

Active since October 05, 2012
2301 CONNECTICUT AVE S, SARTELL, MN 56377(320) 229-1500(320) 229-1505 Get Directions Write a Review

NPPES record last updated: October 5, 2012. Verified against the NPPES registry weekly; last sync: August 30, 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 1265784862) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) 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

NPI1265784862
Entity TypeOrganization
Primary Taxonomy261QR0401X
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 5, 2012
✔ NPI 1265784862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
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 (Ambulatory Surgical)
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 1265784862. It was assigned to this organization in the NPPES registry on October 5, 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 Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Interventional Pain & Physical Medicine Clinic was last updated on October 5, 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.