MEDICARE: ASTIR PHYSICAL THERAPY AND WELLNESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist
2	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1578405395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTIR PHYSICAL THERAPY AND WELLNESS LLC

Provider Business Mailing Address
First Line	:	557 BROAD ST
Second Line	:
City	:	BLOOMFIELD
State	:	NJ
Zip	:	07003-2885
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	557 BROAD ST
Second Line	:
City	:	BLOOMFIELD
State	:	NJ
Zip	:	07003-2885
Country	:	US
Telephone Number	:	973-404-1800
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	DR. RIMOUN K HANNA
Credential	:	PT, DPT
Telephone Number	:	862-276-7231

Provider Enumeration Date	:	04/09/2026
Last Update Date	:	04/09/2026

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