Provider Demographics
NPI:1558982520
Name:THE REHAB ZONE LLC
Entity Type:Organization
Organization Name:THE REHAB ZONE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPTA-DIFILIPPO
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:808-796-7858
Mailing Address - Street 1:PO BOX 331344
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96733-1344
Mailing Address - Country:US
Mailing Address - Phone:808-796-7858
Mailing Address - Fax:
Practice Address - Street 1:353 ANO ST
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-1304
Practice Address - Country:US
Practice Address - Phone:808-359-2998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-30
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Single Specialty