Jaco J Van Delden, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1582 Issued in HI

Practice address

932 Ward Ave
7TH Floor
Honolulu, HI 96814-2131

Phone

(808) 381-8947

NPI assigned

Feb 3, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jaco Rehab Honolulu Limited Partnership

  • Physical Therapist
  • Honolulu, HI
  • NPI 1265073878
  Medicare reassignment NPD

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

{
    "created_epoch": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253059200000",
    "number": "1093853624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1944A 10TH AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162910",
            "telephone_number": "808-381-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 WARD AVE",
            "address_2": "7TH FLOOR",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968142131",
            "telephone_number": "808-381-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN DELDEN",
        "first_name": "JACO",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2009-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "HI",
            "license": "PT-1582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA",
            "identifier": "A20852-8",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Value Drug LTD
• Value Drug LTD
• Value Drug LTD
• Value Drug LTD.
• Value Drug LTD.
• Melanie Kim Van Der Tuin, LMFT
• Yurie I Van Dermark, PSYD
• Jay Van Fleet, PH.D.
• Jacqueline Carol Van Loon, LPC LICENSED PROFESS
• Madison Van Peursem

• Physical Therapist in Honolulu, HI
• Providers in Honolulu, 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 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.