INTEGRATED REHABILITATION GROUP PC (NPI# 1053345017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053345017 |
| Entity Type | Organization |
| Organization Name | INTEGRATED REHABILITATION GROUP PC |
| Other Organization Name | EVERGREEN PHYSICAL THERAPY CENTER & PILATES STUDIO |
| Practice Address |
5029 Evergreen Way Everett WA 98203-2826 |
| Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
| Practice Telephone | 4252521642 |
| Practice Fax Number | 4252581824 |
| Mailing Telephone | 4253168046 |
| Mailing Fax Number | 4253389637 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-12-16 |
| 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 | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225700000X | Massage Therapist | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRY | 0201974 | 01 |
| WA | 7083322 | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Physical Therapy Center & Pilates Studio | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700100344 | Integrated Rehabilitation Group PC | Clinic/Center | 1515 116th Ave Ne Ste 107, Bellevue, WA 98004-3811 | 2010-03-25 |
| 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 |
| Street Address |
5029 EVERGREEN WAY |
| City | EVERETT |
| State | WA |
| Zip Code | 98203-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881659324 | Melinda Guertin | Massage Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2006-04-18 |
| 1194360610 | Margaret Lucile Hughes | Physical Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2019-11-07 |
| 1568727055 | Jennifer Alexandra Patrick Sann | Physical Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2012-07-10 |
| 1093073777 | Integrated Rehab Group Limited Partnership | Physical Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2012-05-01 |
| 1306036967 | Lisa Burns | Physical Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2007-07-30 |
| 1114047651 | Melanie Sue Evans | Massage Therapist | 5029 Evergreen Way, Everett, WA 98203 | 2007-03-29 |
| 1659303022 | Regina C. Mcdonald-bowen | Occupational Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2006-07-07 |
| 1902847692 | Amber Vander Voet | Massage Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2006-06-10 |
| 1023059342 | Patsy L Whitright | Occupational Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2006-06-09 |
| 1659310233 | Christina Lee | Physical Therapist | 5029 Evergreen Way, Everett, WA 98203-2826 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226039 | Lisa Mcgregor | Counselor | Sea Mar Community Health Centers, 5007 Claremont Way, Everett, WA 98203 | 2020-08-20 |
| 1417572009 | Megan Ostermick-durkee | Student in an Organized Health Care Education/Training Program | Sunrise Services Inc., 811 Madison Street, Everett, WA 98203 | 2020-06-10 |
| 1134741424 | Tara Lin Garcia | Peer Specialist | 4256 Federal Avenue, Everett, WA 98203 | 2020-05-11 |
| 1225505241 | Reverie Aurora Shunny | Counselor | Sunrise Service Inc., 811 Madison Street, Everett, WA 98203 | 2018-10-29 |
| 1205313483 | Kristina Renee Bylenga | Counselor | Compass Health 4526 Federal Avenue M/s # 11, Everett, WA 98203 | 2018-07-20 |
| 1306384300 | Shantijoy Inc | Naturopath | 5208 S 2nd Ave, Everett, WA 98203 | 2017-02-09 |
| 1922545276 | Ekaterina Malinovska Dds Pllc | Dentist | 5920 Evergreen Way Suite E, Everett, WA 98203 | 2017-01-25 |
| 1326404104 | Job Oichoe | Counselor | 4625 Federal Ave, Everett, WA 98203 | 2016-01-08 |
| 1427423292 | Ross Lee Voorhees | Counselor | 4423 S 3rd Ave, Everett, WA 98203 | 2015-12-04 |
| 1447642376 | Adam Schneider | Counselor | 4526 Federal Ave # 40, Everett, WA 98203 | 2015-03-02 |
| Find all providers in zip 98203 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013107549 | Kent Physical Therapy & Sports Performance Center LLC | Clinic/Center | 2205 Wall St, Everett, WA 98201-3761 | 2007-07-31 |
| 1174945224 | Atlas Physical Therapy & Industrial Rehabilitation Pllc | Clinic/Center | 13410 Highway 99 Ste 204, Everett, WA 98204-5454 | 2014-01-09 |
| 1881923068 | Everett Physical Therapy LLC | Clinic/Center | 407 Upper Snake Spring Rd, Everett, PA 15537-6360 | 2009-12-16 |
| 1427113174 | Integrated Rehabilitation Group Inc | Clinic/Center | 2000 Hewitt Ave, #115, Everett, WA 98201-3600 | 2006-12-22 |
| 1164433033 | Physiotherapy Associates Inc | Clinic/Center | 12806 Bothell Everett Hwy, Everett, WA 98208-6692 | 2006-08-10 |
| 1366488074 | Integrated Rehabilitation Group PC | Clinic/Center | 10207 19th Ave Se, Everett, WA 98208-4257 | 2006-06-21 |
| 1194707216 | Puget Orthopedic Rehabilitation PC | Clinic/Center | 12811 8th Ave W, A-205, Everett, WA 98204-6335 | 2005-11-15 |
| 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 |
| 1629682976 | Integrated Rehabilitation Group, PC | Clinic/Center | 35323 Se Douglas St Ste 210, Snoqualmie, WA 98065-9289 | 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 |
| Find all providers with the same taxonomy | ||||
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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.