INTEGRATED REHABILITATION GROUP, PC (NPI# 1629682976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629682976 |
Entity Type | Organization |
Organization Name | INTEGRATED REHABILITATION GROUP, PC |
Other Organization Name | IRG PHYSICAL & HAND THERAPY - SNOQUALMIE RIDGE |
Practice Address |
35323 Se Douglas St Ste 210 Snoqualmie WA 98065-9289 |
Mailing Address |
4220 132nd St Se Ste 101 Mill Creek WA 98012-8999 |
Practice Telephone | 4252921477 |
Practice Fax Number | 4253631068 |
Mailing Telephone | 4253579380 |
Enumeration Date | 2020-09-03 |
Last Update Date | 2020-10-28 |
Authorized Official Name | MICHAEL S OKELLEY (PRESIDENT/CEO) |
Authorized Official Telephone | 4253579380 |
Authorized Official Credential | MPT |
Is Organization Subpart | Y |
Parent Organization Name | INTEGRATED REHABILITATION GROUP, PC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
IRG Physical & Hand Therapy - Snoqualmie Ridge | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275088924 | Integrated Rehabilitation Group, PC | Clinic/Center | 9411 192nd Ave E, Building D, Suite E, Bonney Lake, WA 98391-8564 | 2016-08-23 |
1891240545 | Integrated Rehabilitation Group, PC | Occupational Therapist | 5610 176th St E Ste D104, Puyallup, WA 98375-9305 | 2016-08-23 |
1659720977 | Integrated Rehabilitation Group, PC | Occupational Therapist | 311 E College Way Ste A, Mount Vernon, WA 98273-5456 | 2016-06-07 |
1568488112 | Integrated Rehabilitation Group, PC | Massage Therapist | 1651 Cooper Point Rd Sw, Olympia, WA 98502-1178 | 2006-07-15 |
1477588010 | Integrated Rehabilitation Group, PC | Occupational Therapist | 5215 Corporate Center Ct Se Ste D, Lacey, WA 98503-5800 | 2006-07-12 |
1154369833 | Integrated Rehabilitation Group, PC | Massage Therapist | 4220 132nd St Se, Suite 101, Mill Creek, WA 98012-8999 | 2006-06-03 |
1952952202 | Integrated Rehabilitation Group, PC | Physical Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2019-09-26 |
1366093627 | Integrated Rehabilitation Group, PC | Physical Therapist | 525 E College Way, Mount Vernon, WA 98273-5571 | 2019-09-26 |
1982120390 | Integrated Rehabilitation Group, PC | Clinic/Center | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2017-08-17 |
1043745086 | Integrated Rehabilitation Group, PC | Clinic/Center | 22620 Se 4th Street, Suite 240, Sammamish, WA 98074 | 2017-04-27 |
Street Address |
35323 SE DOUGLAS ST STE 210 |
City | SNOQUALMIE |
State | WA |
Zip Code | 98065-9289 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891265807 | Adam Kutzner | Dentist | 34929 Se Ridge Street Suite 220, Snoqualmie, WA 98065 | 2018-12-03 |
1396215000 | Anna Maher | Counselor | 37624 Se Fury St Ste 203, Snoqualmie, WA 98065 | 2018-11-26 |
1194271718 | Cindy Costa | Specialist | 38579 Se River Street, Suite 13, Snoqualmie, WA 98065 | 2016-09-01 |
1548716830 | Snoqualmie Family Dentistry | Clinic/Center | 38475 Se River Street, Snoqualmie, WA 98065 | 2016-08-28 |
1851769202 | Greg Kiper | Counselor | 9571 Ethan Wade Way Se, Snoqualmie, WA 98065 | 2015-09-02 |
1952792814 | Casi Davis | Registered Nurse | 8476 Se Reinig Pl, Snoqualmie, WA 98065 | 2015-02-13 |
1336484443 | Heidi Biddle | Counselor | 7972 Maple Ave. Se, Snoqualmie, WA 98065 | 2012-11-29 |
1255675302 | Patricia Soderlund Holladay | Occupational Therapist | 8001 Silva Ave Se, Snoqualmie, WA 98065 | 2012-11-15 |
1750635066 | Anne Elizabeth Mcgavran | Registered Nurse | 8001 Silva Avenue South East, Snoqualmie, WA 98065 | 2012-11-08 |
1447552005 | Friends of Youth | Community/Behavioral Health | 7972 Maple Ave. Se., Snoqualmie, WA 98065 | 2010-12-02 |
Find all providers in zip 98065 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154666154 | Elite Physical Therapy | Clinic/Center | 37624 Se Fury St, Suite C201, Snoqualmie, WA 98065-9680 | 2012-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053912931 | Pt4all Pllc | Clinic/Center | 2130 N 114th St, Seattle, WA 98133-8507 | 2020-11-05 |
1811503691 | Art of Heaing Physical Therapy | Clinic/Center | 119 N Commercial St Ste 1100c, Bellingham, WA 98225-4496 | 2020-09-17 |
1023622388 | Blue Crane Physical Therapy LLC | Clinic/Center | 10209 123rd St Nw, Gig Harbor, WA 98329-6916 | 2020-09-03 |
1124632609 | Upward Physical Therapy and Wellness LLC | Clinic/Center | 4027 Leary Way Nw, Seattle, WA 98107-5045 | 2020-09-02 |
1356951123 | Lagniappe, Pllc | Clinic/Center | 7515 54th Ave Nw, Gig Harbor, WA 98335-7434 | 2020-08-05 |
1255949178 | Vantage Physical Therapy | Clinic/Center | 2710 S King St, Seattle, WA 98144-2446 | 2020-07-16 |
1407474893 | Truemotion Physical Therapy | Clinic/Center | 109 S 65th Ave Ste 105, Ridgefield, WA 98642-3408 | 2020-07-11 |
1083239073 | Foundations Therafitness and Physical Therapy LLC | Clinic/Center | 1607 Cooper Point Rd Nw Ste B, Olympia, WA 98502-8325 | 2020-06-15 |
1902420821 | Real Time Physical Therapy | Clinic/Center | 3710 27th Pl W Apt 205, Seattle, WA 98199-2055 | 2020-06-05 |
1881218097 | Murdin Therapy LLC | Clinic/Center | 9340 Ne 176th St, Bothell, WA 98011-3619 | 2020-06-03 |
Find all providers with the same taxonomy |
City | SNOQUALMIE |
Zip Code | 98065 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.