Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Interventional and Functional Pain Center

Organization Physical Therapy Clinic/Center · NPI 1356127773

Interventional and Functional Pain Center is a Physical Therapy Clinic/Center in Cranston, Rhode Island. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1150 Reservoir Ave Ste 200
Cranston, RI 02920-6043
Phone: (347) 310-0149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X

Record details

NPI number1356127773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juan Carlos Mirt — Owner · (401) 648-6100
NPI enumeratedSeptember 1, 2023
Last updated in NPPESSeptember 1, 2023
Certification dateSeptember 1, 2023
Mailing address1150 Reservoir Ave Ste 200, Cranston, RI 02920-6043

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