INTEGRATED REHABILITATION GROUP PC (NPI# 1255636528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255636528 |
| Entity Type | Organization |
| Organization Name | INTEGRATED REHABILITATION GROUP PC |
| Other Organization Name | HIGHLANDS PHYSICAL THERAPY |
| Practice Address |
2525 Ne Park Dr Suite C Issaquah WA 98029-2642 |
| Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
| Practice Telephone | 4256867654 |
| Practice Fax Number | 4253419041 |
| Mailing Telephone | 4253579380 |
| Mailing Fax Number | 4253579382 |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2014-11-03 |
| 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 |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | OWCP | 379172608 | 01 |
| Other Name | Type Code |
|---|---|
| Highlands Physical Therapy | 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 |
| 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 |
2525 NE PARK DR SUITE C |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98029-2642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306942156 | Mukti V Godbole | Occupational Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2006-09-16 |
| 1538603808 | Highlands Kids Dentistry and Orthodontics | Dentist | 2525 Ne Park Dr, Ste#b, Issaquah, WA 98029-2642 | 2016-12-06 |
| 1235522723 | Elizabeth Kern | Occupational Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2015-03-09 |
| 1053709501 | Rachel Hammack | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2015-01-07 |
| 1528326204 | Integrated Rehab Group Limited Partnership | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2012-05-01 |
| 1821324286 | Jennifer Romanowicz | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2009-10-20 |
| 1619201928 | Erick Kameyoshi Harada | Physical Therapist | 2525 Ne Park Dr, Suite C, Issaquah, WA 98029-2642 | 2009-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1326695438 | M Shoaib Haider Siddiqui | Dentist | Issaquah Modern Dentistry, 1416 Highlands Drie Ne, Suite 120, Issaquah, WA 98029 | 2019-08-22 |
| 1053885061 | Rose Osborne | Registered Nurse | 4580 Klahanie Dr Se #181, Sammamish, WA 98029 | 2019-01-14 |
| 1598260960 | Caryn Crosbie | Behavior Technician | 22526 Se 64th Place, Building D Suite 210, Issaquah, WA 98029 | 2018-03-28 |
| 1194110908 | May Y. Mar | Family Medicine | 5708 E. Lake Sammamish Pkwy Se, Issaquah, WA 98029 | 2015-03-30 |
| 1659765816 | Eastside Social Skills Therapy LLC | Preferred Provider Organization | 5436 232nd Ave Se, Issaquah, WA 98029 | 2015-03-26 |
| 1649513946 | Linda Scoppettone Knodel | Registered Nurse | 5303 231 Ave. Se, Issaquah, WA 98029 | 2013-04-04 |
| 1720323116 | Morley Slutsky | Preventive Medicine | 4580 Klahanie Dr. S.e.,#125, Issaquah, WA 98029 | 2012-12-11 |
| 1619248820 | Silas Dickenson Dudley | Dentist | 2520 Ne Park Dr, Suite C, Issaquah, WA 98029 | 2012-01-19 |
| 1659641678 | Cynthia J Creel | Technician/Technologist | 4580 Klahanie Dr. Se, #332, Issaquah, WA 98029 | 2012-01-06 |
| Find all providers in zip 98029 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578187829 | Therapy Northwest Pllc | Clinic/Center | 310 3rd Ave Ne Ste 124, Issaquah, WA 98027-3350 | 2020-06-02 |
| 1104383728 | Orientallers LLC | Clinic/Center | 5188 Nw Sammamish Rd, Issaquah, WA 98027-9367 | 2019-03-01 |
| 1811416878 | Dr. Carrie Mcmillin. LLC | Clinic/Center | 195 Ne Gilman Blvd Ste 202, Issaquah, WA 98027-2940 | 2017-09-11 |
| 1083943245 | Integrated Rehabilitation Group PC | Clinic/Center | 5825 221st Pl Se, Suite 208, Issaquah, WA 98027-8927 | 2009-12-17 |
| 1821242678 | Issaquah Primary Care Associates Ps | Clinic/Center | 450 Nw Gilman Blvd, Suite 205, Issaquah, WA 98027-2483 | 2008-11-06 |
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|---|---|---|---|---|
| 1407457153 | Scandia Wellness | Clinic/Center | 121 Naylor Rd, Mossyrock, WA 98564-9507 | 2020-11-07 |
| 1699376152 | Seattle Vision Therapy and Rehabilitation Center, Pllc | Clinic/Center | 13344 1st Ave Ne Ste 101, Seattle, WA 98125-3059 | 2020-11-02 |
| 1942811211 | Little Fin Therapies, LLC | Clinic/Center | 5942 31st Ave Sw, Seattle, WA 98126-2910 | 2020-08-11 |
| 1922621721 | Riaz Pllc | Clinic/Center | 8378 W Grandridge Blvd Ste 110, Kennewick, WA 99336-5401 | 2020-05-27 |
| 1295356848 | Community Health Care | Clinic/Center | 16329 Se 318th St, Auburn, WA 98092-9284 | 2020-05-05 |
| 1720617533 | Nova Mind-body LLC | Clinic/Center | 116 13th Ave E Apt 1e, Seattle, WA 98102-6142 | 2020-04-03 |
| 1609403054 | Lavender Luxe Massage | Clinic/Center | 100 3rd St Ste 100, Davenport, WA 99122-5008 | 2020-03-25 |
| 1417582255 | Personalized Health, LLC | Clinic/Center | 7136 Mlk Jr Way S Ste 204, Seattle, WA 98118-3526 | 2020-03-11 |
| 1912530932 | Lummi Indian Business Council | Clinic/Center | 2924 Haxton Way, Bellingham, WA 98226-9265 | 2020-02-18 |
| 1518590090 | Blossoms Senior Health LLC | Clinic/Center | 11508 Se 76th St, Newcastle, WA 98056-1602 | 2020-02-12 |
| 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.