INTEGRATED REHABILITATION GROUP PC (NPI# 1699716332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699716332 |
| Entity Type | Organization |
| Organization Name | INTEGRATED REHABILITATION GROUP PC |
| Other Organization Name | GRANITE FALLS PHYSICAL THERAPY |
| Practice Address |
403 W Stanley St Granite Falls WA 98252-8631 |
| Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
| Practice Telephone | 3606914835 |
| Practice Fax Number | 3606912545 |
| Mailing Telephone | 4253168046 |
| Mailing Fax Number | 4253389637 |
| Enumeration Date | 2006-06-10 |
| 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 | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | GROUP HEALTH NON-MEDICARE | 462797005 | 01 |
| WA | 7083322 | 05 | |
| WA | L&I CRIME VICTIMS | 8928201 | 01 |
| WA | 9055039 | 05 | |
| WA | GROUP HEALTH MEDICARE | 462797002 | 01 |
| WA | DEPT. OF LABOR & INDUSTRY | 0159241 | 01 |
| WA | OWCP | 3791726-04 | 01 |
| Other Name | Type Code |
|---|---|
| Granite Falls 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 |
| 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 |
403 W STANLEY ST |
| City | GRANITE FALLS |
| State | WA |
| Zip Code | 98252-8631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760438493 | Karin A Lapierre | Physical Therapist | 403 W Stanley St, Granite Falls, WA 98252-8631 | 2006-05-25 |
| 1356898571 | Bianca Daily | Massage Therapist | 403 W Stanley St, Granite Falls, WA 98252-8631 | 2016-09-06 |
| 1417216987 | Integrated Rehab Group Limited Partnership | Physical Therapist | 403 W Stanley St, Granite Falls, WA 98252 | 2012-05-03 |
| 1861782682 | Teresa Majesky | Physical Therapist | 403 W Stanley St, Granite Falls, WA 98252-8631 | 2011-04-13 |
| 1891735403 | Robin A Ingraham | Physical Therapist | 403 W Stanley St, Granite Falls, WA 98252-8631 | 2006-06-08 |
| 1205874864 | Holly L Gramse | Physical Therapist | 403 W Stanley St, Granite Falls, WA 98252-8631 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336755875 | Sonia Guadalupe Lopez-nava | Interpreter | 304 E Stanley Street, Granite Falls, WA 98252 | 2020-09-21 |
| 1265807739 | New Day Community Counseling, LLC | Community/Behavioral Health | 108 Cascase Ave. Suite A, Granite Falls, WA 98252 | 2015-12-09 |
| 1609242700 | Madysen Pruss | Social Worker | 3223 Robe Menzel Rd, Granite Falls, WA 98252 | 2015-08-12 |
| 1245614924 | Krystal Schultz | Counselor | 108 Cascade Ave, Ste. A, Granite Falls, WA 98252 | 2015-07-13 |
| 1760804827 | Barry Tanne, M.d. | Family Medicine | 403 South Granite Ave, Granite Falls, WA 98252 | 2014-01-09 |
| 1548400187 | K L Everett Dds Pllc | Clinic/Center | 207 E Stanley St Suite B, Granite Falls, WA 98252 | 2009-02-23 |
| 1154580637 | Julie Ann Stark | Specialist | 110 South Alder Ave, Granite Falls, WA 98252 | 2008-06-09 |
| 1750581088 | James Charles Kussy | General Practice | 6119 Robe Menzel Road, Granite Falls, WA 98252 | 2007-07-24 |
| 1326241027 | Kristi Ann Vitale I | Massage Therapist | 403 W. Stanley Street, Granite Falls, WA 98252 | 2007-06-08 |
| 1134343254 | Snohomish County Fire District 17 | Ambulance | 116 S. Granite Avenue, Granite Falls, WA 98252 | 2007-04-12 |
| Find all providers in zip 98252 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740421122 | Foothills Physical Therapy | Clinic/Center | 4132 Hickory Blvd, Granite Falls, NC 28630-8371 | 2009-03-16 |
| 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 | ||||
| City | GRANITE FALLS |
| Zip Code | 98252 |
Please comment or provide details below to improve the information on INTEGRATED REHABILITATION GROUP PC.
| 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.