=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306870365
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INTEGRATED REHABILITATION GROUP INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1830 BICKFORD AVE SUITE 209
-----------------------------------------------------
City | SNOHOMISH
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98290-1749
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-330-0633
-----------------------------------------------------
Fax | 360-568-7779
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1830 BICKFORD AVE SUITE 209
-----------------------------------------------------
City | SNOHOMISH
-----------------------------------------------------
State | WA
-----------------------------------------------------
Zip | 98290-1749
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 425-330-0633
-----------------------------------------------------
Fax | 360-568-7779
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINIC MANAGER-HAND THERAPIST
-----------------------------------------------------
Name | PAT WHITRIGHT
-----------------------------------------------------
Credential | OT
-----------------------------------------------------
Telephone | 360-568-7774
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225XH1200X
-----------------------------------------------------
Taxonomy Name | Hand Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | WA
-----------------------------------------------------