Integrated Rehabilitation Group, Pc

LBN: Integrated Rehabilitation Group, Pc
Integrated Rehabilitation Group, Pc is an health care organization with primary practice located at 4220 132Nd St Se Suite 101, Mill Creek WA 98012-8999. 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) 316-8046, or through O'Kelley, Michael Shannon via phone (425) 316-8046.

Contact Information

Primary practice address
4220 132Nd St Se Suite 101 Mill Creek WA 98012-8999
Phone: (425) 316-8046
Fax: (425) 659-7449
Website:
Map and Directions
Authorized official contact:
Name: O'Kelley, Michael Shannon Master of Physical Therapy (MPT)
Phone: (425) 316-8046

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X Washington
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1154369833
LBN Legal business name Integrated Rehabilitation Group, Pc
DBA Doing business as
Authorized official O'Kelley, Michael Shannon Master of Physical Therapy (MPT)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2006
Last updated Dec 28th, 2023 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154369833 NPPES
Washington Other 0112780 L&I
Washington MEDICAID 7682230 L&I
Washington Other 8930484 L&I
Washington MEDICAID 9055039 L&I
Washington Other IN5136 L&I
Washington Other CJ2801 L&I
Washington MEDICAID 7083322 L&I
Washington Other 3791726-00 L&I

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