INTEGRATED REHABILITATION GROUP INC (NPI# 1316971377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316971377 |
| Entity Type | Organization |
| Organization Name | INTEGRATED REHABILITATION GROUP INC |
| Other Organization Name | REDMOND RIDGE PHYSICAL & HAND THERAPY |
| Practice Address |
22500 Ne Marketplace Dr Suite 204 Redmond WA 98053-2033 |
| Mailing Address |
1519 132nd St Se Suite A Everett WA 98208-7203 |
| Practice Telephone | 4258361034 |
| Practice Fax Number | 4258361037 |
| Mailing Telephone | 4253300633 |
| Mailing Fax Number | 4253389637 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2007-10-04 |
| Authorized Official Name | MICHAEL SHANNON O'KELLEY (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 4253379556 |
| Authorized Official Credential | MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
WA | 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 | L&I CRIME VICTIMS | 8930484 | 01 |
| WA | 9055039 | 05 | |
| WA | DME | 1182780006 | 01 |
| WA | 7083322 | 05 | |
| WA | 7682230 | 05 | |
| WA | DEPT. OF LABOR & INDUSTRY | 0191251 | 01 |
| Other Name | Type Code |
|---|---|
| Redmond Ridge Physical & Hand Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528335643 | Integrated Rehabilitation Group Inc | Clinic/Center | 13242 Aurora Ave N, Suite 103, Seattle, WA 98133-7026 | 2011-11-17 |
| 1215201801 | Integrated Rehabilitation Group Inc | Clinic/Center | 919 State Ave, Suite 101, Marysville, WA 98270-4284 | 2012-02-29 |
| 1427113174 | Integrated Rehabilitation Group Inc | Clinic/Center | 2000 Hewitt Ave, #115, Everett, WA 98201-3600 | 2006-12-22 |
| 1306870365 | Integrated Rehabilitation Group Inc | Clinic/Center | 1830 Bickford Ave, Suite 209, Snohomish, WA 98290-1749 | 2006-07-10 |
| Street Address |
22500 NE MARKETPLACE DR SUITE 204 |
| City | REDMOND |
| State | WA |
| Zip Code | 98053-2033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972565042 | Joseph G Banach | Physical Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2006-04-04 |
| 1982079208 | Mary Friedman | Physical Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2015-12-11 |
| 1053789925 | Kaylee Nelson | Physical Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2015-09-09 |
| 1114263316 | Eric Poon | Occupational Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2012-12-17 |
| 1629312020 | Brock James Giannaris | Physical Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2012-11-26 |
| 1205180320 | Stephen Ray Pipe | Physical Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2012-10-29 |
| 1538456488 | William C Merrick Jr. | Massage Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2011-06-29 |
| 1205149069 | Lindsay W Koppes | Physical Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2010-07-22 |
| 1972831923 | Mary K Johnson | Massage Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2009-12-03 |
| 1720259450 | Redmond Ridge Physical Therapy Pllc | Massage Therapist | 22500 Ne Marketplace Dr, Suite 204, Redmond, WA 98053-2033 | 2008-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154830669 | Sharon Ann Amaral | Acupuncturist | 8700 196th Ave Ne, Redmond, WA 98053 | 2017-09-27 |
| 1467877670 | John Paul Lytle Jr. | Radiology | 6729 204th Dr. Ne, Redmond, WA 98053 | 2014-02-25 |
| 1649606906 | Mitchell Allen Luce | Physical Therapist | 4719 272nd Ave Ne, Redmond, WA 98053 | 2013-09-18 |
| 1275825671 | Jennifer Vanessa Munson | Massage Therapist | 23515 Northeast Novelty Hill Road, #225, Redmond, WA 98053 | 2011-05-04 |
| 1245495084 | Jessica Lee Morrow | Massage Therapist | 23525 N.e. Novelty Hill Rd., Redmond Ridge Chiropractic, Redmond, WA 98053 | 2008-07-22 |
| 1194835553 | Rebecca C Lavin | Massage Therapist | 10733 221st Ln Ne Ste A, Redmond, WA 98053 | 2006-08-30 |
| 1033178702 | Michael Fine | Specialist/Technologist | 20301 Ne 108th Street, Redmond, WA 98053 | 2006-03-21 |
| 1104804277 | Jennifer A Martyn | Physical Therapist | 7711 196th Ave Ne, Redmond, WA 98053 | 2006-01-09 |
| 1508359183 | Shannon Vaadeland | Physical Therapist | 22500 Ne Marketplace Dr Ste 204, Redmond, WA 98053 | 2018-06-08 |
| 1932274248 | Julie Wen | Pediatrics | 22635 Market Place Drive, Suite #120, Redmond, WA 98053 | 2006-11-21 |
| Find all providers in zip 98053 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1346610516 | Neal O'neal, Inc | Clinic/Center | 7970 170th Ave Ne, Redmond, WA 98052-4420 | 2015-10-01 |
| 1336471143 | Tuohy Physical Therapy LLC | Clinic/Center | 7551 166th Ave Ne, D225, Redmond, WA 98052-7811 | 2010-02-03 |
| 1043221930 | Physiotherapy Associates Inc | Clinic/Center | 2956 152nd Ave Ne, Redmond, WA 98052-5356 | 2006-08-10 |
| 1962643965 | Redmond Physical Therapy, Inc. | Clinic/Center | 8495 161st Ave Ne, Redmond, WA 98052-3805 | 2009-03-20 |
| 1639222680 | Pt Pro Inc. | Clinic/Center | 2569 152nd Ave Ne, Redmond, WA 98052-5549 | 2007-01-20 |
| 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.