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

Interventional Spine & Sports Medicine, PC

Organization Physical Medicine & Rehabilitation Physician · NPI 1588983415

Interventional Spine & Sports Medicine, PC is a Physical Medicine & Rehabilitation Physician in Middlebury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.

Licensed in
CT
In the registry since
2010
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1579 Straits Tpke Tpke Ofc Park
Middlebury, CT 06762-1835
Phone: (203) 598-7246
Fax: (203) 598-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 040593 (CT)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 040593 (CT)
Nurse Practitioner Taxonomy 363L00000X
Family Nurse Practitioner Taxonomy 363LF0000X
Gerontology Nurse Practitioner Taxonomy 363LG0600X

Record details

NPI number1588983415
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bhavesh Patel — Physician/Owner · (203) 645-8859
NPI enumeratedMay 17, 2010
Last updated in NPPESSeptember 12, 2024
Certification dateSeptember 12, 2024
Mailing address1579 Straits Tpke, Turnpike Office Park, Middlebury, CT 06762-1835

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