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Interventional and Functional Pain Center

Physical Medicine & Rehabilitation Physician in Cranston, RI · enumerated 2018 · authorized official Juan Carlos Mirt, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164907804

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Registry record

Entity type Organization (Type 2)
Legal business name Interventional and Functional Pain Center
Practice address 1150 Reservoir Ave Ste 200, Cranston, RI, 02920
Phone (401) 648-6100
Enumeration date Sep 28, 2018
Last updated in NPPES Jan 22, 2025

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians Primary
261QP2000X Physical Therapy Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Juan Carlos Mirt
Title Office Manager
Phone (401) 648-6100

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Interventional and Functional Pain Center?
The NPI for Interventional and Functional Pain Center is 1164907804, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Interventional and Functional Pain Center?
NPPES lists Juan Carlos Mirt (Office Manager) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-22.