INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD. – NPI #1053596205
Physical Medicine & Rehabilitation

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD. is a provider located in MANSFIELD, OH. NPPES has assigned the NPI number 1053596205 to INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD. on January 07, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was last updated on Jul 02, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD. below.

NPI Profile for
INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD.

NPI Number
1053596205
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD.
Primary location
1221 S TRIMBLE RD STE B1
MANSFIELD, OH 44907-2212
Phone: (419) 522-1100 Fax: (419) 522-4118
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MICHAEL STRETANSKI
MEDICAL DIRECTROR / OWNER
Phone: (419) 522-1100
Updated
Certification Date
Jul 02, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for INTERVENTIONAL SPINE AND PAIN REHABILITATION CENTER, LTD.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOH2258560
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)
OH 34.007293

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.