INTEGRATED REHABILITATION GROUP, PC (NPI# 1982968053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982968053 |
| Entity Type | Organization |
| Organization Name | INTEGRATED REHABILITATION GROUP, PC |
| Other Organization Name | SOUTH SOUND PHYSICAL & HAND THERAPY TACOMA |
| Practice Address |
1901 S Cedar St B-1 Tacoma WA 98405-2308 |
| Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
| Practice Telephone | 2532726910 |
| Practice Fax Number | 2533834210 |
| Mailing Telephone | 4253579380 |
| Mailing Fax Number | 4253579382 |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2020-01-03 |
| Authorized Official Name | MICHAEL SHANNON O'KELLEY (PRESIDENT/OWNER) |
| Authorized Official Telephone | 4253168046 |
| 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 |
WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| South Sound Physical & Hand Therapy Tacoma | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682976 | Integrated Rehabilitation Group, PC | Clinic/Center | 35323 Se Douglas St Ste 210, Snoqualmie, WA 98065-9289 | 2020-09-03 |
| 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 |
| Street Address |
1901 S CEDAR ST B-1 |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-2308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789626 | Jerome Lee | Dentist | 1901 S Cedar St, Ste 106, Tacoma, WA 98405-2302 | 2005-06-09 |
| 1427574953 | Vanessa Thompson | Physical Therapist | 1901 S Cedar St, Tacoma, WA 98405-2308 | 2017-08-16 |
| 1316376569 | Dayna Rae Briggs | Physical Therapist | 1901 S Cedar St, Suite B-1, Tacoma, WA 98405-2308 | 2013-11-08 |
| 1588096127 | Ming Chi Hsiao | Nurse Practitioner | 1901 S Cedar St, Suite 301, Tacoma, WA 98405-2308 | 2013-08-06 |
| 1750726659 | Karen Marie Kwasny | Physical Therapist | 1901 S Cedar St, B-1, Tacoma, WA 98405-2308 | 2013-05-06 |
| 1104184811 | Integrated Rehab Group Limited Partnership | Physical Therapist | 1901 S Cedar St, #b-1, Tacoma, WA 98405-2308 | 2012-05-01 |
| 1417225970 | Star Pt, Limited Partnership | Physical Therapist | 1901 S Cedar St, Suite B1, Tacoma, WA 98405-2308 | 2011-12-12 |
| 1619258415 | Robert E Ettlinger Md Ps | Internal Medicine | 1901 S Cedar St, Suite 108, Tacoma, WA 98405-2395 | 2011-09-07 |
| 1134459670 | Zaleh Parham | Nurse Practitioner | 1901 S Cedar St, Ste 108, Tacoma, WA 98405-2302 | 2010-01-06 |
| 1306074968 | Eun Kyung Koh | Internal Medicine | 1901 S Cedar St, Suite 205, Tacoma, WA 98405-2308 | 2009-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568096238 | Physio Movement & Performance, Pllc | Clinic/Center | 615 S Baker St, Tacoma, WA 98402-2318 | 2020-03-02 |
| 1255870671 | Totem Physical Therapy Ps | Clinic/Center | 1802 S. Union Ave, Suite 100, Tacoma, WA 98405-1950 | 2017-02-17 |
| 1982804944 | Alicia Lynn Bowman | Clinic/Center | 2420 S Union Ave Ste 130, Tacoma, WA 98405-1306 | 2007-07-18 |
| 1629071394 | Advanced Physical Therapy & Balance Rehabilitation LLC | Clinic/Center | 1901 S Union Ave, Ste B7011, Tacoma, WA 98405-1807 | 2005-05-24 |
| 1902314537 | Vincent M Leon | Clinic/Center | 3819 6th Ave, Tacoma, WA 98406-4903 | 2018-01-17 |
| 1073025490 | Physiostrength LLC | Clinic/Center | 2909 S 12th St, Tacoma, WA 98405-2540 | 2017-10-25 |
| 1093161226 | Brent Finnigan Lmp | Clinic/Center | 4537 Yakima Ave, Tacoma, WA 98418 | 2016-05-06 |
| 1851754568 | Excellence In Injury Physical Therapy Rehabilitation Inc. | Clinic/Center | 5849 Tacoma Mall Blvd, Suite E, Tacoma, WA 98409-6905 | 2016-03-30 |
| 1205163524 | Peckham Enterprises, LLC | Clinic/Center | 3007 6th Ave, Tacoma, WA 98406-6202 | 2009-11-06 |
| 1003054685 | Tacoma Rehabilitation Therapy Inc. | Clinic/Center | 1720 S 72nd St, Suite 103, Tacoma, WA 98408-1245 | 2009-02-04 |
| Find all providers in TACOMA | ||||
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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.