# CROSSROADS REHAB LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Kona Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164883385
- **Authorized official:** AMY HOOGS (OWNER)
- **Authorized official phone:** (808) 334-0806

## Contact information

- **Practice address:** 75-1029 HENRY ST STE 101, KAILUA KONA, HI 96740-1666
- **Practice address phone:** (808) 334-0806
- **Practice address fax:** (808) 334-0483
- **Mailing address:** 75-1029 HENRY ST STE 101, KAILUA KONA, HI 96740-1666
- **Mailing address phone:** (808) 334-0806
- **Mailing address fax:** (808) 334-0483

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 03/15/2016
- **Last updated:** 04/21/2016