Healthcare Provider Details

I. General information

NPI: 1528191517
Provider Name (Legal Business Name): INTEGRATED REHABILITATION SYSTEMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 LUKE ST
IRVING TX
75061-4004
US

IV. Provider business mailing address

1128 LUKE ST
IRVING TX
75061-4004
US

V. Phone/Fax

Practice location:
  • Phone: 972-313-0186
  • Fax: 972-986-9093
Mailing address:
  • Phone: 972-313-0186
  • Fax: 972-986-9093

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225CA2500X
TaxonomyAssistive Technology Supplier Rehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIK JACKSON STRADER
Title or Position: OWNER
Credential: PROFESSIONAL ENGINEE
Phone: 972-313-0186