Jaco Rehab Kapolei, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

JACO REHAB KAPOLEI, LLC

Practice address

599 Farrington Hwy Ste 206
Kapolei, HI 96707-2028

Phone

(808) 381-8947

Fax

(808) 591-2245

NPI assigned

Sep 9, 2018

Last updated

Sep 9, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jaco J. Van Delden, P.T.NPI 1093853624

Title

Owner

Phone

(808) 381-8947

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jaco J Van Delden, P.T.

  • Physical Therapist
  • Honolulu, HI
  • NPI 1093853624
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536451200000",
    "number": "1013490747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST STE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141880",
            "telephone_number": "808-381-8947",
            "fax_number": "808-591-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 FARRINGTON HWY STE 206",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072028",
            "telephone_number": "808-381-8947",
            "fax_number": "808-591-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACO REHAB KAPOLEI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A",
        "authorized_official_last_name": "VAN DELDEN",
        "authorized_official_first_name": "JACO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-381-8947",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarin Tsuyoshi Iwata, BCBA, LBA
• Jennifer S Iyo, DPT
• Mattix Jaccaud
• Robert E Jackson, PH.D.
• Jaco Rehab Kapolei Limited Partnership
• John Robert Jaicks, DMD
• Michelle Nicole Indig Janeo, LMFT
• Jaewon Jang
• Sandara Lair Gaoiran Jaralba
• Kayla E Jarossy

• Physical Therapist in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Physical Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.