Individual provider Active NPI

Gisland Montour, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Wilkes Barre Township, PA
National Provider Identifier
1902256274
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
OS020419 Issued in PA
Practice address
575 N River St
Wilkes Barre Township, PA 18702-2634
Phone
(570) 208-3310
NPI assigned
Jun 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X OS020419 PA 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

111 S Front St Fl 5
Harrisburg, PA 17101-2010
Phone (717) 724-6610

Other practice location 2

503 N 21st St Fl 5
Camp Hill, PA 17011-2204
Phone (717) 972-4575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200727000121 PA Practitioner - Physical Medicine and Rehabilitation 9931489481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Ohio University, College of Osteopathic Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Bloomsburg, PA 17815
Phone (570) 849-8896

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Reimagine Rehabilitation Physical Medicine & Rehabilitation CurrentSince Jan 1, 2024 Accepting new patients

Locations

1005 Scott Town Ctr
Bloomsburg, PA 17815
Phone (570) 317-2999

503 N 21st St
Fl 5
Camp Hill, PA 17011
Phone (717) 724-6610

111 S Front St
Fl 5
Harrisburg, PA 17101
Phone (717) 350-3647

575 N River St
Wilkes Barre Township, PA 18702
Phone (570) 283-3222

Interoperability endpoints

  • Direct secure messaging: gisland.montour.1@17594.direct.athenahealth.com

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702512000000",
    "number": "1902256274",
    "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": "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"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "MONTOUR",
        "first_name": "GISLAND",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "OS020419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre Township, PA

Sources for this page

Verify at the official NPI Registry.