Active NPI
Leanna Juyne Gillette
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- Allentown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
- License
- PT029475
- Practice address
- 707 Hamilton St FL 4
Allentown, PA 18101-2407 - Phone
- (484) 862-3001
- Fax
- (484) 862-3013
- NPI assigned
- Jun 1, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | 2081P0301X | PT029475 | PA | Primary |
Addresses
Primary practice location
707 Hamilton St FL 4
Allentown, PA 18101-2407
Mailing address
33 N Main St
Pittston, PA 18640-1949
Other practice location 1
33 N Main St
Pittston, PA 18640-1949
Phone (570) 208-2787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023782260003 | Medicaid | PA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | WebPT | ||
| SOAP URL | WebPT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231024000290 | PA | Practitioner - Physical Therapist in Private Practice | 9133575475 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT029475 | PA | MD | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lehigh Valley Hospital | Current | Accepting new patients | |
| Lehigh Valley Hospital | Current | Accepting new patients | |
| RMC PT, LLC | Past | Accepting new patients |
Locations
707 Hamilton St
Fl 4
Allentown, PA 18101
Phone (484) 862-3001
2901 Emrick Blvd
Ste 103
Bethlehem, PA 18020
Phone (610) 625-2169
700 Hawk Ridge Dr
Hamburg, PA 19526
Phone (610) 562-0170
Organizations & group practices 22
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lehigh Valley Hospital
Practice addresses (Care Compare)
707 Hamilton St
FL 4
Allentown, PA 18101-2407
Phone (484) 862-3001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1265008197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 N MAIN ST",
"city": "PITTSTON",
"state": "PA",
"postal_code": "186401949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 HAMILTON ST FL 4",
"city": "ALLENTOWN",
"state": "PA",
"postal_code": "181012407",
"telephone_number": "484-862-3001",
"fax_number": "484-862-3013"
}
],
"practiceLocations": [
{
"address_1": "33 N Main St",
"address_purpose": "LOCATION",
"city": "Pittston",
"state": "PA",
"postal_code": "186401949",
"country_code": "US",
"telephone_number": "570-208-2787",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GILLETTE",
"first_name": "LEANNA",
"middle_name": "JUYNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-01",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0301X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Brain Injury Medicine",
"state": "PA",
"license": "PT029475",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023782260003",
"state": "PA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WebPT",
"affiliation": "N",
"address_1": "33 N Main St",
"city": "Pittston",
"state": "PA",
"country_code": "US",
"postal_code": "186401949",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "WebPT",
"affiliation": "N",
"address_1": "33 N Main St",
"city": "Pittston",
"state": "PA",
"country_code": "US",
"postal_code": "186401949",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Allentown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.