INTEGRATED REHABILITATION GROUP PC NPI 1083943245

NPI Information

NPI: 1083943245
Provider Name: INTEGRATED REHABILITATION GROUP PC

Doing Business As: IRG PACIFIC HANDWORKS ISSAQUAH

Classification: Occupational Therapist - 225XH1200X
Entity Type: Organization

Specialization: Hand

Address:
5825 221ST PL SE
SUITE 208
ISSAQUAH, WA
ZIP 98027
Phone: (425) 392-4206
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INTEGRATED REHABILITATION GROUP PC is a hand occupational therapist in Issaquah, WA. INTEGRATED REHABILITATION GROUP PC NPI is 1083943245. The provider is registered as an organization entity type.
The provider Is Doing Business As Irg Pacific Handworks Issaquah.

The provider's business location address is:

5825 221ST PL SE
SUITE 208
ISSAQUAH, WA
ZIP 98027-927
Phone: (425) 392-4206
Fax: (425) 392-4209

The provider's authorized official is Michael Shannon O'kelley .
The authorized official title is President/owner and has the following contact phone number (425) 316-8046.

The enumeration date for this NPI number is 12/17/2009 and was last updated on 12/16/2015.

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
1	261Q00000X	Clinic/Center				No
2	225XH1200X	Occupational Therapist	Hand			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1182780013	MEDICARE NSC	WASHINGTON
2	G8886918	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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