Integrated Rehabilitation Group, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INTEGRATED REHABILITATION GROUP, PC

Practice address

5610 176TH St E Ste D104
Puyallup, WA 98375-9305

Phone

(253) 387-6078

Fax

(253) 256-6530

NPI assigned

Aug 23, 2016

Organization subpart

Yes

Parent organization

INTEGRATED REHABILITATION GROUP, PCAs reported in NPPES

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 2

Addresses

Other names 2

• IRG Physical & Hand Therapy - Frederickson Doing business as
• South Sound Physical & Hand Therapy, PLLC Former legal business name

Part of

Integrated Rehab Group Inc

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Bonney Lake, WA
  • NPI 1275088924

  Member Of

  NPD member
• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1750312542

  Member Of

  NPD member
• Snohomish Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Snohomish, WA
  • NPI 1487692398

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703721600000",
    "number": "1891240545",
    "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": "5610 176TH ST E STE D104",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983759305",
            "telephone_number": "253-387-6078",
            "fax_number": "253-256-6530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED REHABILITATION GROUP, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INTEGRATED REHABILITATION GROUP, PC",
        "enumeration_date": "2016-08-23",
        "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": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IRG Physical & Hand Therapy - Frederickson",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Sound Physical & Hand Therapy, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "South Sound Physical & Hand Therapy, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Impetus Movement and Rehab
• Kerri Lynn Inglin, OT
• Cary Ingram
• Suzanne Amalie Ingrao, M.D.
• Loran Shad Inman, LMHC
• Integrity Chiropractic
• Intuitive Counseling LLC
• Iora Health Washington Physicians, P.C.
• Iora Senior Health, LLC
• Rumi Iqbal, MD

• Physical Therapy Clinic/Center in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Physical Therapy Clinic/Center in Washington

• 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.

Verify at the official NPI Registry.