Irg Physical Therapy - Silver Lake
LBN: Integrated Rehabilitation Group, Pc
Irg Physical Therapy - Silver Lake is an health care organization with primary practice located at 10207 19Th Ave Se , Everett WA 98208-4257. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty.
Integrated Rehabilitation Group, Pc can be contacted via phone (425) 337-3166, or through O'Kelley, Michael Shannon via phone (425) 316-8046.
Contact Information
Primary practice address
10207 19Th Ave Se
Everett WA 98208-4257
Phone: (425) 337-3166
Fax: (425) 338-4596
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 |
|---|---|---|---|
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1366488074 |
|---|---|
| LBN Legal business name | Integrated Rehabilitation Group, Pc |
| DBA Doing business as | Irg Physical Therapy - Silver Lake |
| Authorized official | O'Kelley, Michael Shannon Master of Physical Therapy (MPT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jun 21st, 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 | 1366488074 | NPPES |
| Washington | MEDICAID | 7083322 | |
| Washington | Other | 8928202 | |
| Washington | Other | 0130583 | |
| Washington | MEDICAID | 9055039 | |
| Washington | Other | 3791726-07 |
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