NPIMap

Organization Active NPI

Jaco Rehab Waikele Limited Partnership

  • Physical Therapist
  • Waipahu, HI
National Provider Identifier
1629619234
Registry record updated Mar 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
JACO REHAB WAIKELE LIMITED PARTNERSHIP
Practice address
94-849 Lumiaina St Unit 101
Waipahu, HI 96797-5677
Phone
(808) 381-8947
NPI assigned
Oct 4, 2019
Last updated
Mar 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2023

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

Authorized official

Name
Richard Binstein
Title
VP/Authorized Official
Phone
(713) 297-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

94-849 Lumiaina St Unit 101
Waipahu, HI 96797-5677

Mailing address

1401 S Beretania St Ste 550
Honolulu, HI 96814-1880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200302000493 HI Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2769819804 Receives reassigned benefits from 53 practitioners
Practice locations: Waipahu, HI

National Provider Directory

National Provider Directory

Locations

94-849 Lumiaina St
Unit 101
Waipahu, HI 96797
Phone (808) 536-8947

Practitioners & affiliated clinicians

Practitioners 67

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.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1629619234",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-849 LUMIAINA ST UNIT 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975677",
            "telephone_number": "808-381-8947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACO REHAB WAIKELE LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-04",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waipahu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.