INTEGRATED REHABILITATION GROUP PC (NPI# 1306134010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306134010 |
| Entity Type | Organization |
| Organization Name | INTEGRATED REHABILITATION GROUP PC |
| Other Organization Name | IRG EASTSIDE HAND THERAPY |
| Practice Address |
12911 120th Ave Ne Suite F120 Kirkland WA 98034-3027 |
| Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
| Practice Telephone | 4258231389 |
| Practice Fax Number | 4258203996 |
| Mailing Telephone | 4253579380 |
| Mailing Fax Number | 4253579382 |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2014-11-12 |
| 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 |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| IRG Eastside Hand 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 |
| 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 |
12911 120TH AVE NE SUITE F120 |
| City | KIRKLAND |
| State | WA |
| Zip Code | 98034-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125188 | Aileen Ann Mickey | Internal Medicine | 12911 120th Ave Ne, Evergreen Pulmonary Care Center, Suite G-105, Kirkland, WA 98034-3027 | 2005-09-26 |
| 1912459652 | Cascade Natural Medicine | Naturopath | 12911 120th Ave Ne, Suite E-50, Kirkland, WA 98034-3027 | 2016-10-28 |
| 1306396338 | Clark Anthony Laprelle II | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2016-10-14 |
| 1457726143 | Chapin Densmore,dds, Ps | Dentist | 12911 120th Ave Ne, Suite D 50, Kirkland, WA 98034-3027 | 2015-12-06 |
| 1316340706 | Krystal Plonski | Naturopath | 12911 120th Ave Ne, Suite E-50, Kirkland, WA 98034-3027 | 2014-09-30 |
| 1114334612 | Rx Digital Radiology, LLC | Radiology | 12911 120th Ave Ne, F-240, Kirkland, WA 98034-3027 | 2014-07-16 |
| 1417360124 | Chapin Densmore | Dentist | 12911 120th Ave Ne, Suite D50, Kirkland, WA 98034-3027 | 2014-06-10 |
| 1265776470 | Garrett D. Gray | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2012-11-12 |
| 1427300565 | Sarah Severance Goble | Physician Assistant | 12911 120th Ave Ne, Suite H-210, Kirkland, WA 98034-3027 | 2012-10-14 |
| 1205194982 | Integrated Rehab Group Limited Partnership | Occupational Therapist | 12911 120th Ave Ne, #f120, Kirkland, WA 98034-3027 | 2012-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578116596 | Rachel Bowers | Behavior Technician | 1335 Northeast 122nd Way, Suite 105, Kirkland, WA 98034 | 2019-07-18 |
| 1740841048 | Kristina Louise Inghram | Behavior Technician | 11415 Ne 128th St., Suite 40, Kirkland, WA 98034 | 2019-06-26 |
| 1053978064 | Matthew A. Bagnulo, Dds, Ps | Dentist | 11830 Ne 128th St., #202, Kirkland, WA 98034 | 2019-05-24 |
| 1629568928 | Stephanie Michalko | Optometrist | 11800 Ne 128th St Ste 110, Kirkland, WA 98034 | 2018-05-14 |
| 1952800013 | Heath Family Counseling LLC | Marriage & Family Therapist | 12025 115th Ave. Ne, Building D, Ste 200, Kirkland, WA 98034 | 2018-02-05 |
| 1891202834 | Barbara Josephine Gorham | Counselor | 2025 115th Ave Ne, Bldg D, #200, Kirkland, WA 98034 | 2017-12-29 |
| 1548782915 | Eleanor Hollis Wall | Counselor | 14340 102nd Ave Ne, Kirkland, WA 98034 | 2017-07-07 |
| 1457885212 | Peter Schoonmaker | Hospitalist | 12040 Ne 128th Street, Ms105, Kirkland, WA 98034 | 2017-04-18 |
| 1780124370 | Rebecca Managan | Advanced Practice Midwife | 12303 Ne 130th Ln Ste Coral225, Kirkland, WA 98034 | 2017-03-01 |
| 1669821104 | Winter Gonzalez | Counselor | 11720 97th Ln Ne Apt A411, Kirkland, WA 98034 | 2016-06-06 |
| Find all providers in zip 98034 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467582320 | Eastside Hand Rehabilitation Clinic Inc | Occupational Therapist | 12911-120th Ave Ne, Suite F-120, Kirkland, WA 98034-3025 | 2007-03-07 |
| 1629450903 | Gina Sue Yuasa | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2955 | 2015-06-23 |
| 1790094167 | Washington Therapy Group, Inc. | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2954 | 2010-10-01 |
| 1841331006 | Hilary D Noe | Occupational Therapist | 12910 Totem Lake Blvd Ne, Suite 130, Kirkland, WA 98034-2954 | 2007-02-09 |
| 1558424861 | Karen Lynne Orloff | Occupational Therapist | 12911 120th Ave Ne, Suite H-220, Kirkland, WA 98034-3027 | 2006-12-18 |
| 1467489278 | Maria Y.m. Tang | Occupational Therapist | 12911 120th Ave Ne, Suite H-220, Kirkland, WA 98034-3027 | 2006-06-27 |
| 1972530079 | Barbara E. Palmer | Occupational Therapist | 12911 120th Ave Ne, Suite H-220, Kirkland, WA 98034-3027 | 2006-06-26 |
| 1740262948 | Jenny Kay | Occupational Therapist | 12911 120th Ave Ne, Suite H-220, Kirkland, WA 98034-3027 | 2005-11-15 |
| 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 |
| 1598032815 | Washington Therapy Group, Inc | Occupational Therapist | 1810 116th Ave Ne Ste D-4, Bellevue, WA 98004-3058 | 2011-12-01 |
| 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 |
| 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.