INTEGRATED REHABILITATION GROUP PC (NPI# 1700100344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700100344 |
Entity Type | Organization |
Organization Name | INTEGRATED REHABILITATION GROUP PC |
Other Organization Name | IRG PACIFIC HANDWORKS BELLEVUE |
Practice Address |
1515 116th Ave Ne Ste 107 Bellevue WA 98004-3811 |
Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
Practice Telephone | 4258275877 |
Practice Fax Number | 4258275843 |
Mailing Telephone | 4253168046 |
Mailing Fax Number | 4253389637 |
Enumeration Date | 2010-03-25 |
Last Update Date | 2019-12-04 |
Authorized Official Name | MICHAEL SHANNON O'KELLEY (PRESIDENT/OWNER) |
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 |
---|---|---|---|---|---|
N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
IRG Pacific Handworks Bellevue | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548416001 | Integrated Rehabilitation Group PC | Occupational Therapist | 3732 Colby Ave, Everett, WA 98201-4911 | 2008-08-14 |
1972537926 | Integrated Rehabilitation Group PC | Clinic/Center | 7907 212th St Sw, Suite 219, Edmonds, WA 98026-7541 | 2006-07-10 |
1700232964 | Integrated Rehabilitation Group PC | Physical Therapist | 7315 212th St Sw, Suite 104, Edmonds, WA 98026-7610 | 2016-05-06 |
1437563368 | Integrated Rehabilitation Group PC | Massage Therapist | 275 Se Cabot Dr, Suite A-05, Oak Harbor, WA 98277-3715 | 2014-06-18 |
1639513419 | Integrated Rehabilitation Group PC | Clinic/Center | 4220 132nd St Se, Suite 101, Mill Creek, WA 98012-8994 | 2013-04-23 |
1164799284 | Integrated Rehabilitation Group PC | Clinic/Center | 2701 171st Pl Ne, Suite 203, Marysville, WA 98271-4739 | 2011-11-17 |
1306134010 | Integrated Rehabilitation Group PC | Clinic/Center | 12911 120th Ave Ne, Suite F120, Kirkland, WA 98034-3027 | 2011-07-14 |
1255636528 | Integrated Rehabilitation Group PC | Clinic/Center | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2011-01-18 |
1083943245 | Integrated Rehabilitation Group PC | Clinic/Center | 5825 221st Pl Se, Suite 208, Issaquah, WA 98027-8927 | 2009-12-17 |
1053345017 | Integrated Rehabilitation Group PC | Occupational Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2006-07-10 |
Street Address |
1515 116TH AVE NE STE 107 |
City | BELLEVUE |
State | WA |
Zip Code | 98004-3811 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750915773 | Kendall Dougherty | Occupational Therapist | 1515 116th Ave Ne Ste 107, Bellevue, WA 98004-3811 | 2020-02-28 |
1881238137 | Whitney Eand | Occupational Therapist | 1515 116th Ave Ne Ste 107, Bellevue, WA 98004-3811 | 2019-10-30 |
1740772730 | Maryam Khaniyan | Occupational Therapist | 1515 116th Ave Ne Ste 107, Bellevue, WA 98004 | 2018-06-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306458328 | Geneva Paula Hoskins-dorsey | Nurse Practitioner | 11120 Ne 33rd Place, Suite 202, Bellevue, WA 98004 | 2020-08-20 |
1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
1437634730 | Hazelden Betty Ford Foundation | Clinic/Center | 1231 116th Ave. Ne Suite 410, Bellevue, WA 98004 | 2018-10-02 |
1356827828 | Seattle Spine Group, Pllc | Orthopaedic Surgery | 1220 116th Ave Ne Ste 102, Bellevue, WA 98004 | 2018-07-17 |
1669989216 | Atsuko Nakajima | Acupuncturist | 2223 112th Ave. Ne, Ste 201, Bellevue, WA 98004 | 2018-01-04 |
1740794718 | Radka Chapin Counseling, LLC | Clinic/Center | 1611 116th Ave Ne Ste 119, Bellevue, WA 98004 | 2017-11-28 |
1962912105 | Cuyler Ann Simmons | Counselor | 3805 108th Ave Ne Ste 204, Bellevue, WA 98004 | 2017-10-02 |
1639690357 | Nicolas Lopez-montalvo | Behavioral Analyst | 3003 Northup Way Suite 200, Bellevue, WA 98004 | 2017-07-03 |
1124579537 | Matthew Thomas Haley | Pharmacist | 107 Bellevue Way, Se, Bellevue, WA 98004 | 2016-10-20 |
1649727348 | Kelsey Tanaka | Nurse Practitioner | 400- 108th Ave Ne, Suite 100, Bellevue, WA 98004 | 2016-09-10 |
Find all providers in zip 98004 |
Taxonomy Code | 225XH1200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Occupational Therapist |
Specialization | Hand |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598032815 | Washington Therapy Group, Inc | Occupational Therapist | 1810 116th Ave Ne Ste D-4, Bellevue, WA 98004-3058 | 2011-12-01 |
1598110603 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2016-04-26 |
1659662401 | Washington Therapy Group, Inc. | Occupational Therapist | 11711 Ne 12th St, Suite 2a, Bellevue, WA 98005-2461 | 2011-04-28 |
1255639878 | Washington Therapy Group, Inc. | Occupational Therapist | 1900 116th Ave Ne, Suite 200, Bellevue, WA 98004-3052 | 2011-03-07 |
1831492537 | Proliance Surgeons Inc Ps | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2010-12-19 |
1598945578 | Kristin M. Rosen | Occupational Therapist | 1810 116th Ave Ne, Suite D-4, Bellevue, WA 98004-3058 | 2007-11-07 |
1013119379 | Deborah Ann Mazza | Occupational Therapist | 1200 112th Ave Ne, Suite C260, Bellevue, WA 98004-3732 | 2007-05-31 |
1235297607 | Karan A Dennis | Occupational Therapist | 14100 Se 36th St, Ste. 210, Bellevue, WA 98006-1657 | 2006-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255805271 | Karen Sziel Otr/l, Cht, LLC | Occupational Therapist | 144 Railroad Ave Ste 310, Edmonds, WA 98020-4100 | 2019-01-12 |
1811439425 | Caitlin Corinne Snowden | Occupational Therapist | 833 K St, Washougal, WA 98671-1138 | 2016-11-14 |
1972914752 | Puget Sound Hand Therapy & Structural Medicine | Occupational Therapist | 1818 S Union Ave Ste 1b, Tacoma, WA 98405-1953 | 2014-05-14 |
1942641147 | Ret Sunrise Physical Therapy Pllc | Occupational Therapist | 17528 Meridian E Ste 205, Puyallup, WA 98375-6286 | 2013-07-16 |
1548416001 | Integrated Rehabilitation Group PC | Occupational Therapist | 3732 Colby Ave, Everett, WA 98201-4911 | 2008-08-14 |
1720299621 | Jarod Frederick Mann | Occupational Therapist | 303 S F St, Aberdeen, WA 98520-1099 | 2007-05-24 |
1467582320 | Eastside Hand Rehabilitation Clinic Inc | Occupational Therapist | 12911-120th Ave Ne, Suite F-120, Kirkland, WA 98034-3025 | 2007-03-07 |
1073663522 | Elizabeth A Duran | Occupational Therapist | 601 W 5th Ave Ste 304, Spokane, WA 99204-2714 | 2007-01-10 |
1538231113 | Mitchell Hisao Suzawa | Occupational Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2006-11-15 |
1164501268 | Alex G. Bartl | Occupational Therapist | 805 W Orchard Dr Ste 2, Bellingham, WA 98225-1759 | 2006-11-02 |
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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.