Individual provider Active NPI

Montana J Gilbert, DPT

  • Physical Therapist
  • Springfield, IL
National Provider Identifier
1811721863
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.028621 Issued in IL
Practice address
2201 W White Oaks Dr
Springfield, IL 62704-6498
Phone
(217) 546-3301
Fax
(217) 546-3302
NPI assigned
Aug 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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 070.028621 IL Primary

Addresses

Primary practice location

2201 W White Oaks Dr
Springfield, IL 62704-6498

Mailing address

2201 W White Oaks Dr
Springfield, IL 62704-6498
Phone (217) 546-3301

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031001428 IL Practitioner - Physical Therapist in Private Practice 9436682267 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028621ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Professionals LLC Physical Therapist CurrentSince Oct 11, 2024 Accepting new patients

Locations

2201 W White Oaks Dr
Springfield, IL 62704
Phone (217) 546-3301

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1811721863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 W WHITE OAKS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046498",
            "telephone_number": "217-546-3301",
            "fax_number": "217-546-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 W WHITE OAKS DR",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627046498",
            "telephone_number": "217-546-3301",
            "fax_number": "217-546-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILBERT",
        "first_name": "MONTANA",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.028621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.