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INTEGRATED REHABILITATION GROUP PC NPI 1548416001


NPI Information

NPI: 1548416001
Provider Name: INTEGRATED REHABILITATION GROUP, PC

Doing Business As: IRG PACIFIC AVE HAND THERAPY - EVERETT

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
3732 COLBY AVE
EVERETT, WA
ZIP 98201
Phone: (425) 374-2846
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INTEGRATED REHABILITATION GROUP, PC is a clinic center in Everett, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). INTEGRATED REHABILITATION GROUP, PC NPI is 1548416001. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Irg Pacific Ave Hand Therapy - Everett.

The provider's business location address is:

3732 COLBY AVE
EVERETT, WA
ZIP 98201-911
Phone: (425) 374-2846
Fax: (425) 374-3272

The provider's authorized official is Michael Shannon O'kelley .
The authorized official title is President/owner and has the following contact phone number (425) 316-8046.

The enumeration date for this NPI number is 8/14/2008 and was last updated on 12/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225XH1200XOccupational TherapistHandNo
2261Q00000XClinic/CenterWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1379172614OTHERWASHINGTONOWCP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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