INTEGRATED REHABILITATION GROUP, PC
NPI 1154369833
Clinic/Center - Physical Therapy in Mill Creek, WA
NPI Status: Active since June 03, 2006
Contact Information
4220 132ND ST SE
SUITE 101
MILL CREEK, WA
ZIP 98012
Phone: (425) 316-8046
Fax: (425) 659-7449
- Organization
- Clinic/Center
- Physical Therapy
- Accepts Insurance
About INTEGRATED REHABILITATION GROUP, PC
This page provides the complete NPI Profile along with additional information for Integrated Rehabilitation Group, Pc, a provider established in Mill Creek, Washington operating as a Clinic/center, focusing in physical therapy . The healthcare provider is registered in the NPI registry with number 1154369833 assigned on June 2006. The practitioner's primary taxonomy code is 261QP2000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Michael Shannon O'kelley Mpt (President/owner)
- NPI
- 1154369833
- Provider Name
- INTEGRATED REHABILITATION GROUP, PC
- Entity Type
- Organization
- Location Address
- 4220 132ND ST SE SUITE 101 MILL CREEK, WA 98012
- Location Phone
- (425) 316-8046
- Location Fax
- (425) 659-7449
- Mailing Address
- 4220 132ND ST SE SUITE101 MILL CREEK, WA 98012
- Mailing Phone
- (425) 316-8046
- Mailing Fax
- (425) 659-7449
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-03-2006
- Last Update Date
- 12-28-2023
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Physical Therapy
- Taxonomy Code
- 261QP2000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | |
| 2 | 225XH1200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | (WA) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0112780 | OTHER (01) | WA | L&I |
| 7682230 | MEDICAID (05) | WA | |
| 8930484 | OTHER (01) | WA | L&I CRIME VICTIMS |
| 9055039 | MEDICAID (05) | WA | |
| IN5136 | OTHER (01) | WA | REGENCE BLUESHIELD GRP # |
| CJ2801 | OTHER (01) | WA | RAILROAD MEDICARE |
| 7083322 | MEDICAID (05) | WA | |
| 3791726-00 | OTHER (01) | WA | OWCP |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 5 | 4 | 3 | 6 | 9 | 8 | 3 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 10 | 4 | 6 | 6 | 18 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 1 + 0 + 4 + 6 + 6 + 1 + 8 + 8 + 6 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1154369833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568871408 | JANE HOSMAN Individual | Physical Therapist | 4220 132ND ST SE SUITE 101 MILL CREEK, WA 98012 (425) 316-8046 |
| 1386970887 | ANNALISE D DUSELL PT, DPT Individual | Physical Therapist | 4220 132ND ST SE SUITE 101 MILL CREEK, WA 98012 (425) 686-7655 |
| 1538581996 | JENNIFER PINEDA DPT Individual | Physical Therapist | 4220 132ND ST SE STE. 101 MILL CREEK, WA 98012 (425) 686-7655 |
| 1184181307 | AUSTIN KUNISHIGE ATC Individual | Specialist/Technologist (Athletic Trainer) | 4220 132ND ST SE MILL CREEK, WA 98012 (425) 686-7655 |
| 1639513419 | INTEGRATED REHABILITATION GROUP, PC Organization | Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)) | 4220 132ND ST SE SUITE 101 MILL CREEK, WA 98012 (425) 316-8046 |
| 1124048947 | MR. GARY JAMES MAGUIRE MSPT Individual | Physical Therapist | 4220 132ND ST SE SUITE 101 MILL CREEK, WA 98012 (425) 357-9380 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154369833, enumerated in the NPI registry as an "organization" on June 03, 2006
The provider is located at 4220 132nd St Se Suite 101 Mill Creek, Wa 98012 and the phone number is (425) 316-8046
This medical organization specializes in Clinic/Center with taxonomy code 261QP2000X with a focus in Physical Therapy
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on June 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.