Individual provider Active NPI

William A Montross, PT

  • Physical Therapist
  • Kingston, PA
National Provider Identifier
1114991619
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT008951L Issued in PA
Practice address
520 3Rd Ave
Kingston, PA 18704-5803
Phone
(570) 714-6460
Fax
(570) 714-6461
NPI assigned
Feb 14, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT008951L PA Primary

Addresses

Primary practice location

520 3Rd Ave
Kingston, PA 18704-5803

Mailing address

PO Box 1902
Kingston, PA 18704-0902
Phone (570) 714-6460

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110411000228 PA Practitioner - Physical Therapist in Private Practice 6204010648 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Rehabilitation Associates PC Physical Therapist CurrentSince Apr 1, 2012 Accepting new patients
Associated Family Home Care Inc Physical Therapist CurrentSince Mar 7, 2024 Accepting new patients
Gem Therapeutics Physical Therapist Past Accepting new patients

Locations

256 Schuyler Ave
Kingston, PA 18704
Phone (570) 283-5917

520 3rd Ave
Kingston, PA 18704
Phone (570) 714-6460

Organizations & group practices 3

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1114991619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1902",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040902",
            "telephone_number": "570-714-6460",
            "fax_number": "570-714-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 3RD AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045803",
            "telephone_number": "570-714-6460",
            "fax_number": "570-714-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTROSS",
        "first_name": "WILLIAM",
        "middle_name": "A",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008951L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.