Active NPI
Integrated Rehabilitation Group, PC
- Physical Therapy Clinic/Center
- Arlington, WA
National Provider Identifier
1740222017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- INTEGRATED REHABILITATION GROUP, PC
- Practice address
- 7728 204TH St NE
Suite a
Arlington, WA 98223-4603 - Phone
- (360) 403-8250
- Fax
- (360) 403-0917
- NPI assigned
- Jun 12, 2006
- 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 S Okelley
- Title
- Owner
- Phone
- (425) 316-8046
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | WA | ||
| Hand Occupational Therapist | 225XH1200X | |||
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
7728 204TH St NE
Suite a
Arlington, WA 98223-4603
Mailing address
4220 132ND St SE
Suite 101
Mill Creek, WA 98012-8999
Phone (425) 316-8046
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650021104 | Other | WA | RR MEDICARE |
| 9055039 | Medicaid | WA | |
| 3791726-01 | Other | WA | OWCP |
| 7682230 | Medicaid | WA | |
| 462797001 | Other | WA | GROUP HEALTH MEDICARE |
| 462797004 | Other | WA | GROUP HEALTH NON-MEDICARE |
| 8928203 | Other | WA | L&I CRIME VICITIMS |
| 7083322 | Medicaid | WA | |
| 0112780 | Other | WA | DEPT. OF LABOR & INDUSTRY |
Other names 1
- IRG Physical & Hand Therapy- Arlington
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1703721600000",
"number": "1740222017",
"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": "425-316-8046",
"fax_number": "425-338-9637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7728 204TH ST NE",
"address_2": "SUITE A",
"city": "ARLINGTON",
"state": "WA",
"postal_code": "982234603",
"telephone_number": "360-403-8250",
"fax_number": "360-403-0917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTEGRATED REHABILITATION GROUP, PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTEGRATED REHABILITATION GROUP, PC",
"enumeration_date": "2006-06-12",
"last_updated": "2023-12-28",
"certification_date": "2023-12-28",
"status": "A",
"authorized_official_last_name": "OKELLEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "425-316-8046"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Hand",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "650021104",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9055039",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP",
"identifier": "3791726-01",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7682230",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH MEDICARE",
"identifier": "462797001",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH NON-MEDICARE",
"identifier": "462797004",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I CRIME VICITIMS",
"identifier": "8928203",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7083322",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT. OF LABOR & INDUSTRY",
"identifier": "0112780",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "IRG Physical & Hand Therapy- Arlington",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "IRG Physical & Hand Therapy- Arlington",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Arlington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.