Interventional and Functional Pain Center
NPI 1164907804 · Physical Medicine & Rehabilitation Physician · Cranston, RI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Interventional and Functional Pain Center is a Physical Medicine & Rehabilitation Physician organization in Cranston, RI (NPI 1164907804).
Provider details
- NPI number
- 1164907804
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Juan Carlos Mirt, Office Manager(401) 648-6100
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-09-28
- Last updated
- 2025-01-22
- Certified
- 2025-01-22
Frequently asked questions
- What is Interventional and Functional Pain Center's NPI number?
- Interventional and Functional Pain Center's National Provider Identifier (NPI) is 1164907804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Interventional and Functional Pain Center?
- Interventional and Functional Pain Center is classified in the NPPES registry as Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Interventional and Functional Pain Center located?
- Interventional and Functional Pain Center's practice location on file with NPPES is 1150 Reservoir Ave Ste 200, Cranston, RI 02920-6043.
- What is Interventional and Functional Pain Center's phone number?
- The practice phone number listed in the NPPES registry for Interventional and Functional Pain Center is (401) 648-6100.
- Does Interventional and Functional Pain Center accept Medicare?
- Interventional and Functional Pain Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Interventional and Functional Pain Center?
- The authorized official listed on Interventional and Functional Pain Center's NPPES record is Juan Carlos Mirt, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Interventional and Functional Pain Center's NPI active?
- Yes — Interventional and Functional Pain Center's NPI (1164907804) is active in the NPPES registry as of the last update on 2025-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.