INTEGRATED REHABILITATION GROUP PC NPI 1639513419

NPI Information

  • NPI: 1639513419
  • Provider Name: INTEGRATED REHABILITATION GROUP, PC
  • Classification: Clinic/Center - 261QR0401X
  • Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Entity Type: Organization
  • Doing Business As: IRG PHYSICAL THERAPY - GATEWAY
  • Address: 4220 132ND ST SE
    SUITE 101
    MILL CREEK, WA
    ZIP 98012
  • Phone: (425) 316-8046

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NPI Details

INTEGRATED REHABILITATION GROUP, PC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Mill Creek, WA. INTEGRATED REHABILITATION GROUP, PC NPI is 1639513419. The provider is registered as an organization entity type.
The provider Is Doing Business As Irg Physical Therapy - Gateway.

The provider's business location address is:

4220 132ND ST SE
SUITE 101
MILL CREEK, WA
ZIP 98012-994
Phone: (425) 316-8046
Fax: (425) 338-9637

The provider's authorized official is Michael Shannon Okelley .
The authorized official title is Owner and has the following contact phone number (425) 316-8046.

The enumeration date for this NPI number is 4/23/2013 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0401XClinic/CenterRehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)WASHINGTONYes

What is NPI?

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This page was last updated on: 11/21/2025

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