OrganizationActive
Interventions in Pain Management LLC
NPI 1174902605 · Pain Clinic/Center · Bettendorf, IA
Provider details
- NPI number
- 1174902605
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kerry Panozzo, Owner(309) 721-3288
- License
- 34922 (IA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
1075 Golden Valley Dr
Bettendorf, IA 52722-1649
Phone: (309) 428-7055
Street-level locationGet directions
Mailing address
4110 Blackhawk Rd Ste 2
Rock Island, IL 61201-7039
Registry dates
- Enumerated
- 2015-05-29
- Last updated
- 2016-11-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.