Jaco Rehab Waikele LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1582 Issued in HI

Legal business name

JACO REHAB WAIKELE LLC

Practice address

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

Phone

(808) 536-8947

Fax

(808) 591-2245

NPI assigned

Nov 26, 2013

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.

Title

Owner

Phone

(808) 381-8947

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1811327059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S BERETANIA ST",
            "address_2": "SUITE 550",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968141870",
            "telephone_number": "808-536-8947",
            "fax_number": "808-591-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94-849 LUMIAINA ST",
            "address_2": "SUITE 101",
            "city": "WAIPAHU",
            "state": "HI",
            "postal_code": "967975677",
            "telephone_number": "808-536-8947",
            "fax_number": "808-591-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACO REHAB WAIKELE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "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": "HI",
            "license": "PT-1582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon S. I. Iwaishi, PHARMD
• Jeanne Marie Iwashita, CCC-SLP
• Revelyn Domingsil Jacinto, PRIMARY CAREGIVER
• Jaclyn Palola, DMD LLC
• Jaco Rehab Waikele Limited Partnership
• Kimberly Jacobson
• Vicki James
• Ryan Jaramillo, PT
• Jason H. Ikeno D.D.S. Inc
• Mary Grace Cabbab Javier

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.