Active NPI
Reimagine Rehabilitation
- Physical Medicine & Rehabilitation Physician
- Wilkes Barre Township, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- REIMAGINE REHABILITATION
- Practice address
- 575 N River St
Wilkes Barre Township, PA 18702-2634 - Phone
- (570) 208-3310
- NPI assigned
- Dec 7, 2023
- Last updated
- Dec 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gisland Montour, DO
- Title
- Ceo
- Phone
- (570) 849-8896
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre Township, PA 18702-2634
Mailing address
1005 Scott Town Ctr # 1008
Bloomsburg, PA 17815-2356
Phone (570) 849-8896
Other practice location 1
503 N 21st St Fl 5
Camp Hill, PA 17011-2204
Phone (717) 972-4575
Other practice location 2
111 S Front St Fl 5
Harrisburg, PA 17101-2010
Phone (717) 724-6610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Medicine & Rehabilitation Physician
- Wilkes Barre Township, PA
- NPI 1902256274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701907200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702512000000",
"number": "1760259972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 SCOTT TOWN CTR # 1008",
"city": "BLOOMSBURG",
"state": "PA",
"postal_code": "178152356",
"telephone_number": "570-849-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE TOWNSHIP",
"state": "PA",
"postal_code": "187022634",
"telephone_number": "570-208-3310"
}
],
"practiceLocations": [
{
"address_1": "503 N 21st St Fl 5",
"address_purpose": "LOCATION",
"city": "Camp Hill",
"state": "PA",
"postal_code": "170112204",
"country_code": "US",
"telephone_number": "717-972-4575",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "111 S Front St Fl 5",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171012010",
"country_code": "US",
"telephone_number": "717-724-6610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REIMAGINE REHABILITATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-07",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A",
"authorized_official_last_name": "MONTOUR",
"authorized_official_first_name": "GISLAND",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "570-849-8896",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilkes Barre Township, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.