Active NPI
Integrated Rehabilitation Group PC
- Hand Occupational Therapist
- Kirkland, WA
National Provider Identifier
1306134010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- Legal business name
- INTEGRATED REHABILITATION GROUP PC
- Practice address
- 12911 120TH Ave NE
Suite F120
Kirkland, WA 98034-3027 - Phone
- (425) 823-1389
- Fax
- (425) 820-3996
- NPI assigned
- Jul 14, 2011
- Organization subpart
- Yes
- Parent organization
- INTEGRATED REHABILITATION GROUP PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Shannon O'Kelley, MPT
- Title
- President/Owner
- Phone
- (425) 316-8046
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | Primary | ||
| Physical Therapy Clinic/Center | 261QP2000X |
Addresses
Primary practice location
12911 120TH Ave NE
Suite F120
Kirkland, WA 98034-3027
Mailing address
4220 132ND St SE
Suite 101
Mill Creek, WA 98012-8999
Phone (425) 357-9380
Other names 1
- IRG Eastside Hand Therapy
National Provider Directory
National Provider Directory- Part of
- Integrated Rehab Group Inc
Member of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Bonney Lake, WA
- NPI 1275088924
Member Of
-
- Physical Therapy Clinic/Center
- Snohomish, WA
- NPI 1487692398
Member Of
Locations
12911 120th Ave NE
Ste F120
Kirkland, WA 98034
Phone (425) 305-2940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310601600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415750400000",
"number": "1306134010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 132ND ST SE",
"address_2": "SUITE 101",
"city": "MILL CREEK",
"state": "WA",
"postal_code": "980128999",
"telephone_number": "425-357-9380",
"fax_number": "425-357-9382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12911 120TH AVE NE",
"address_2": "SUITE F120",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980343027",
"telephone_number": "425-823-1389",
"fax_number": "425-820-3996"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED REHABILITATION GROUP PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTEGRATED REHABILITATION GROUP PC",
"enumeration_date": "2011-07-14",
"last_updated": "2014-11-12",
"status": "A",
"authorized_official_last_name": "O'KELLEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "SHANNON",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "425-316-8046",
"authorized_official_credential": "MPT"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "IRG Eastside Hand Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.