<Unavail>
LBN: Integrated Rehabilitation Group, Pc
<Unavail> is an health care organization with primary practice located at 15808 Mill Creek Blvd Ste 120 , Mill Creek WA 98012-1500. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, 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) 225-6867, or through O'Kelley, Michael Shannon via phone (425) 316-8046.
Contact Information
Primary practice address
15808 Mill Creek Blvd Ste 120
Mill Creek WA 98012-1500
Phone: (425) 225-6867
Fax: (425) 332-2494
Website:
Authorized official contact:
Name: O'Kelley, Michael Shannon Physical Therapist (PT)
Phone: (425) 316-8046
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1750312542 |
|---|---|
| LBN Legal business name | Integrated Rehabilitation Group, Pc |
| DBA Doing business as | <Unavail> |
| Authorized official | O'Kelley, Michael Shannon Physical Therapist (PT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 6th, 2006 |
| Last updated | Jul 14th, 2025 - 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 | 1750312542 | NPPES |
| Washington | MEDICAID | 7083322 | |
| Washington | Other | 8928199 | |
| Washington | MEDICAID | 9055039 | |
| Washington | Other | 0148721 | |
| Washington | Other | 3791726-05 |
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