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General NPI Number Information
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NPI Number | 1760378293
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Entity Type | Organization
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Legal Business Name | INTEGRATED REHABILITATION GROUP, PC
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Dates
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Enumeration Date | 06/12/2025
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1700 WESTLAKE AVE N STE 100
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City | SEATTLE
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State | WA
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Zip | 98109-6212
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Country | US
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Telephone | 206-752-6837
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Fax | 206-701-3398
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Provider Business Mailing Address
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Address Line | 4220 132ND ST SE STE 101
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City | MILL CREEK
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State | WA
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Zip | 98012-8999
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Country | US
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Telephone | 425-316-8046
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MICHAEL S OKELLEY
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Credential | MPT
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Telephone | 425-357-9380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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