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

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  • 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 3 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with 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
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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)
1225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Massage Therapist

 
2225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist
Hand

(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
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - 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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MICHAEL SHANNON O'KELLEY MPT

Authorized Official Title
PRESIDENT/OWNER
Authorized Official Phone
(425) 316-8046

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
0112780OTHER (01)WAL&I
7682230MEDICAID (05)WA 
8930484OTHER (01)WAL&I CRIME VICTIMS
9055039MEDICAID (05)WA 
IN5136OTHER (01)WAREGENCE BLUESHIELD GRP #
CJ2801OTHER (01)WARAILROAD MEDICARE
7083322MEDICAID (05)WA 
3791726-00OTHER (01)WAOWCP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1154369833, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 3 → 6 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 0 + 4 + 6 + 6 + 1 + 8 + 8 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1154369833.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physical Therapist
4220 132ND ST SE, SUITE 101
MILL CREEK, WA 98012
Physical Therapist
4220 132ND ST SE, SUITE 101
MILL CREEK, WA 98012
Physical Therapist
4220 132ND ST SE, STE. 101
MILL CREEK, WA 98012
Specialist/Technologist (Athletic Trainer)
4220 132ND ST SE
MILL CREEK, WA 98012
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
4220 132ND ST SE, SUITE 101
MILL CREEK, WA 98012
Physical Therapist
4220 132ND ST SE, SUITE 101
MILL CREEK, WA 98012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154369833, enumerated 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.

Clinic/Center with taxonomy code 261QP2000X and 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 verify.