INTEGRATED REHABILITATION GROUP, PC (NPI# 1477588010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477588010 |
| Entity Type | Organization |
| Organization Name | INTEGRATED REHABILITATION GROUP, PC |
| Other Organization Name | SOUTH SOUND PHYSICAL & HAND THERAPY-LACEY |
| Practice Address |
5215 Corporate Center Ct Se Ste D Lacey WA 98503-5800 |
| Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
| Practice Telephone | 3604558155 |
| Practice Fax Number | 3604551655 |
| Mailing Telephone | 4253579380 |
| Mailing Fax Number | 4253579382 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2020-07-10 |
| Authorized Official Name | DANIELLE KELLY (CREDENTIALING) |
| Authorized Official Telephone | 4253168046 |
| 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 |
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 | OWCP | 3583413-02 | 01 |
| Other Name | Type Code |
|---|---|
| South Sound Physical & Hand Therapy | Doing Business As Name - Organization |
| South Sound Physical & Hand Therapy-Lacey | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682976 | Integrated Rehabilitation Group, PC | Clinic/Center | 35323 Se Douglas St Ste 210, Snoqualmie, WA 98065-9289 | 2020-09-03 |
| 1275088924 | Integrated Rehabilitation Group, PC | Clinic/Center | 9411 192nd Ave E, Building D, Suite E, Bonney Lake, WA 98391-8564 | 2016-08-23 |
| 1891240545 | Integrated Rehabilitation Group, PC | Occupational Therapist | 5610 176th St E Ste D104, Puyallup, WA 98375-9305 | 2016-08-23 |
| 1659720977 | Integrated Rehabilitation Group, PC | Occupational Therapist | 311 E College Way Ste A, Mount Vernon, WA 98273-5456 | 2016-06-07 |
| 1568488112 | Integrated Rehabilitation Group, PC | Massage Therapist | 1651 Cooper Point Rd Sw, Olympia, WA 98502-1178 | 2006-07-15 |
| 1154369833 | Integrated Rehabilitation Group, PC | Massage Therapist | 4220 132nd St Se, Suite 101, Mill Creek, WA 98012-8999 | 2006-06-03 |
| 1952952202 | Integrated Rehabilitation Group, PC | Physical Therapist | 17792 147th St Se, Monroe, WA 98272-1030 | 2019-09-26 |
| 1366093627 | Integrated Rehabilitation Group, PC | Physical Therapist | 525 E College Way, Mount Vernon, WA 98273-5571 | 2019-09-26 |
| 1982120390 | Integrated Rehabilitation Group, PC | Clinic/Center | 2821 Nw Market St Ste E, Seattle, WA 98107-5815 | 2017-08-17 |
| 1043745086 | Integrated Rehabilitation Group, PC | Clinic/Center | 22620 Se 4th Street, Suite 240, Sammamish, WA 98074 | 2017-04-27 |
| Street Address |
5215 CORPORATE CENTER CT SE STE D |
| City | LACEY |
| State | WA |
| Zip Code | 98503-5800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457838989 | Michele Nordgren Bourque | Psychologist | 4329 Concordia Lane Se, Lacey, WA 98503 | 2018-07-26 |
| 1831638675 | Trevor John Marum | Chiropractor | 3945 8th Ave Se, Lacey, WA 98503 | 2017-02-13 |
| 1366993362 | Vanessa Julie Iglesias Mehta | Physician Assistant | 5128 Yelm Hwy Se, Suite E, Lacey, WA 98503 | 2016-10-14 |
| 1144683616 | Millenda Thomas | Registered Nurse | 1233 Firpark Dr. S.e., Lacey, WA 98503 | 2016-04-01 |
| 1609257245 | Erika Charlotte Vonkotzebue | Counselor | 4401 37th Ave. Se #25, Lacey, WA 98503 | 2015-06-09 |
| 1437576196 | Candy Nelson | Registered Nurse | 4410 6th Ave Se, Apt# 115, Lacy, WA 98503 | 2014-03-19 |
| 1134563919 | Alvin Fitzgerald | Pharmacist | 665 Sleater Kinney Rd., S.e, Target Pharmacy #1355, Lacey, WA 98503 | 2013-04-23 |
| 1518200724 | Katherine Mary Marsh | Psychologist | 5191 Corporate Center Court Se, Lacey, WA 98503 | 2013-04-05 |
| 1740530906 | Leanna Marie Mcbroom | Massage Therapist | 1608 Diamond Loop Se, Lacey, WA 98503 | 2012-09-14 |
| 1831445196 | Joyce Emily Christensen Coniff | Counselor | 5706 39th Ave Se., Lacey, WA 98503 | 2012-07-24 |
| Find all providers in zip 98503 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912538505 | Physical Therapy Empowered, Pllc | Clinic/Center | 7605 38th Ct Se, Lacey, WA 98503-4804 | 2020-01-31 |
| 1033571989 | Puget Sound Physical Therapy LLC | Clinic/Center | 3201 Willamette Dr Ne, Suite C, Lacey, WA 98516-1376 | 2016-03-21 |
| 1740480110 | Penrose & Associates Physical Therapy LLC | Clinic/Center | 1445 Galaxy Dr Ne, Suite 301, Lacey, WA 98516-4746 | 2007-07-23 |
| 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.