Individual provider Active NPI

Rimoun Hanna, DPT

  • Physical Therapist
  • Highland, TX
National Provider Identifier
1346475647
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1337937 Issued in TX
Practice address
2540 Justin Rd
179
Highland, TX 75077
Phone
(972) 808-7070
Fax
(972) 737-1065
NPI assigned
May 16, 2009
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA01366000 NJ
Physical Therapist 225100000X 1337937 TX Primary

Addresses

Primary practice location

2540 Justin Rd
179
Highland, TX 75077

Mailing address

2540 Justin Rd
179
Highland, TX 75077
Phone (972) 808-7070

Other practice location 1

665 Broadway
Bayonne, NJ 07002-4710
Phone (201) 875-5757

Other practice location 2

305 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 778-2020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220922000082 TX Practitioner - Physical Therapist in Private Practice 5698933943 Reassigns benefits to 1 organization
Practice locations: Highland Village, TX

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Triumph Physical Therapy and Wellness Center PLLCGroup PAC ID 5799164455, 3 clinicians

Practice addresses (Care Compare)

2540 Justin Rd
Suite 179
Highland Village, TX 75077-3137
Phone (972) 737-1065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1337937TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Enjoy Jersey Services LLC Physical Therapist CurrentSince Nov 17, 2024 Accepting new patients
Triumph Physical Therapy & Wellness Center PLLC Physical Therapist CurrentSince Jun 1, 2022 Accepting new patients

Locations

305 Bayonne Crossing Way
Bayonne, NJ 07002
Phone (201) 778-2020

2540 Justin Rd
Ste 179
Lewisville, TX 75077
Phone (972) 737-1065

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1242432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1346475647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 JUSTIN RD",
            "address_2": "179",
            "city": "HIGHLAND",
            "state": "TX",
            "postal_code": "75077",
            "telephone_number": "972-808-7070",
            "fax_number": "972-737-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 JUSTIN RD",
            "address_2": "179",
            "city": "HIGHLAND",
            "state": "TX",
            "postal_code": "75077",
            "telephone_number": "972-808-7070",
            "fax_number": "972-737-1065"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "665 Broadway",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "070024710",
            "country_code": "US",
            "telephone_number": "201-875-5757",
            "fax_number": "201-455-6691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 Bayonne Crossing Way",
            "address_purpose": "LOCATION",
            "city": "Bayonne",
            "state": "NJ",
            "postal_code": "07002",
            "country_code": "US",
            "telephone_number": "201-778-2020",
            "fax_number": "201-786-6299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HANNA",
        "first_name": "RIMOUN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-16",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01366000",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1337937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.