Irg Physical & Hand Therapy - Evergreen
LBN: Integrated Rehabilitation Group, Pc
Irg Physical & Hand Therapy - Evergreen is an health care organization with primary practice located at 5029 Evergreen Way , Everett WA 98203-2826. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Ambulatory Health Care Facilities / Physical Therapy. Ambulatory Health Care Facilities / Physical Therapy is the primary health care specialty.
Integrated Rehabilitation Group, Pc can be contacted via phone (425) 252-1642, or through O'Kelley, Michael Shannon via phone (425) 316-8046.
Contact Information
Primary practice address
5029 Evergreen Way
Everett WA 98203-2826
Phone: (425) 252-1642
Fax: (425) 258-1824
Website:
Authorized official contact:
Name: O'Kelley, Michael Shannon Master of Physical Therapy (MPT)
Phone: (425) 316-8046
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | Washington | |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1053345017 |
|---|---|
| LBN Legal business name | Integrated Rehabilitation Group, Pc |
| DBA Doing business as | Irg Physical & Hand Therapy - Evergreen |
| Authorized official | O'Kelley, Michael Shannon Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Dec 28th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053345017 | NPPES |
| Washington | Other | 0201974 | LABOR & INDUSTRY |
| Washington | MEDICAID | 7083322 | LABOR & INDUSTRY |
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