INTEGRATED REHABILITATION GROU PC (NPI# 1871527820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871527820 |
| Entity Type | Organization |
| Organization Name | INTEGRATED REHABILITATION GROU PC |
| Other Organization Name | MUKILTEO PHYSICAL THERAPY |
| Practice Address |
11700 Mukilteo Speedway Suite 503 Mukilteo WA 98275-5432 |
| Mailing Address |
4220 132nd St Se Suite 101 Mill Creek WA 98012-8999 |
| Practice Telephone | 4253499692 |
| Practice Fax Number | 4253499694 |
| Mailing Telephone | 4253168046 |
| Mailing Fax Number | 4253389637 |
| Enumeration Date | 2006-07-10 |
| 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 | 133V00000X | Dietitian, Registered | WA | Dietary & Nutritional 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 | 8930832 | 01 |
| WA | OWCP | 3791726-10 | 01 |
| WA | 7083322 | 05 | |
| WA | DEPT. OF LABOR & INDUSTRY | 0181123 | 01 |
| WA | 9055039 | 05 |
| Other Name | Type Code |
|---|---|
| Mukilteo Physical Therapy | Doing Business As Name - Organization |
| Street Address |
11700 MUKILTEO SPEEDWAY SUITE 503 |
| City | MUKILTEO |
| State | WA |
| Zip Code | 98275-5432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487601142 | Julie Mahler | Dietitian, Registered | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2006-05-28 |
| 1417215104 | Integrated Rehab Group Limited Partnership | Physical Therapist | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2012-05-01 |
| 1770897274 | Jeremy Cornwell | Physical Therapist | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2010-07-27 |
| 1659692309 | David Jack Weller | Pharmacist | 11700 Mukilteo Speedway, Mukilteo, WA 98275-5432 | 2010-06-17 |
| 1518100098 | Pacific Eyecare Professionals Inc | Optometrist | 11700 Mukilteo Speedway, #501, Mukilteo, WA 98275-5432 | 2009-04-13 |
| 1134361413 | Christine A Toma | Physical Therapist | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2009-04-01 |
| 1871788836 | Madelaine Katrina Taylor | Pharmacist | 11700 Mukilteo Speedway, Suite 500, Mukilteo, WA 98275-5432 | 2007-09-12 |
| 1770787947 | David Ryan White | Massage Therapist | 11700 Mukilteo Speedway, Suite 503, Mukilteo, WA 98275-5432 | 2007-06-12 |
| 1619193778 | Jennifer Shaw | Dentist | 11700 Mukilteo Speedway, #502, Mukilteo, WA 98275-5432 | 2007-04-17 |
| 1629166772 | Seema Bali-sharma | Optometrist | 11700 Mukilteo Speedway, Suite 501, Mukilteo, WA 98275-5432 | 2006-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477030245 | Brandon Eugene Moore | Social Worker | 12303 Cyrus Way, Suite 107, Mukilteo, WA 98275 | 2018-07-25 |
| 1407349962 | Cascade Endocrinology Pllc | Internal Medicine | 8423 Mukilteo Spdwy Ste 102, Mukilteo, WA 98275 | 2018-06-10 |
| 1780059899 | Jamie Kowatch | Dietitian, Registered | 8423 Mukilteo Speedway Ste 102, Mukilteo, WA 98275 | 2015-12-01 |
| 1225479025 | Helen Ra | Pharmacist | 5600 Harbour Pointe Blvd., Unit 1-105, Mukilteo, WA 98275 | 2013-07-10 |
| 1861731333 | Lynn Sharon Schmidt | Physical Therapist | 10520 Harbour Pointe Blvd, Columbia Elementary School - Msd #6, Mukilteo, WA 98275 | 2013-02-04 |
| 1023318326 | Hillary E Hofstaedter | Registered Nurse | 10710 Mukilteo Speedway # 67, Mukilteo, WA 98275 | 2010-11-02 |
| 1528371416 | Zita Molnar Fekete | Counselor | 4460 73rd Pl Sw, Mukilteo, WA 98275 | 2010-07-20 |
| 1497900609 | Heidi S. Rendall | Family Medicine | 8227 44th Ave W., Ste E, Mukilteo, WA 98275 | 2008-12-02 |
| 1558583609 | Ana B Rountree | Physician Assistant | 10710 Mukilteo Spdwy, Mukilteo, WA 98275 | 2007-05-02 |
| 1376769752 | Wahid Elbahr | Dentist | 12121 Harbour Reach Dr., Ste 210, Mukilteo, WA 98275 | 2007-04-17 |
| Find all providers in zip 98275 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| 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 | ||||
Please comment or provide details below to improve the information on INTEGRATED REHABILITATION GROU 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.