Integrated Rehabilitation Group, PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

INTEGRATED REHABILITATION GROUP, PC

Doing business as

IRG Physical & Hand Therapy - Frederickson

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

Last updated

Dec 28, 2023By the provider in NPPES

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 OkelleyNPI 1730142381

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 Rehabilitati

Member of 3

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

• Integrated Rehabilitation Group, PC

  • Physical Therapy Clinic/Center
  • Mill Creek, WA
  • NPI 1154369833

  Member Of

  NPD member
• Integrated Rehabilitation Group, PC

  dba IRG Physical & Hand Therapy Camano Island

  • Physical Therapy Clinic/Center
  • Camano Island, WA
  • NPI 1417491911

  Member Of

  NPD member
• Snohomish Physical Therapy PLLC

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

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael S Okelley, PT

  • Physical Therapist
  • Everett, WA
  • NPI 1730142381
  Authorized official Same address or phone

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. (One Medical)
• Iora Senior Health, LLC (One Medical)
• 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.