Individual provider Active NPI

Madeline Siyao Graefe

  • Physical Therapist
  • Bozeman, MT
National Provider Identifier
1003700832
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
32555 Issued in MT
Practice address
1450 Ellis St Ste 201
Bozeman, MT 59715-8813
Phone
(406) 587-0122
NPI assigned
Jun 5, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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 32555 MT Primary

Addresses

Primary practice location

1450 Ellis St Ste 201
Bozeman, MT 59715-8813

Mailing address

3832 Blondie St Apt 201
Bozeman, MT 59718-4524
Phone (262) 357-1674

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620002691 MT Practitioner - Physical Therapist in Private Practice 0648782144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bridger Orthopedics and Sports Medicine PCGroup PAC ID 4587627096, 69 clinicians

Practice addresses (Care Compare)

1610 Ellis St
Suite 2a
Bozeman, MT 59715-8854
Phone (406) 587-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32555MTMDMedical-Surgical Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Bridger Orthopedics and Sports Medicine, PC CurrentSince Jun 9, 2025 Accepting new patients
Bridger Orthopedic Walk in Clinic PC Physical Therapist Past Accepting new patients

Locations

101 Frank Rd
Belgrade, MT 59714
Phone (406) 388-7229

3400 Laramie Dr
Bozeman, MT 59718
Phone (406) 586-5694

1450 Ellis St
Ste 201
Bozeman, MT 59715
Phone (406) 522-1144

1610 Ellis St
Ste 2A
Bozeman, MT 59715

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12906/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1749081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1003700832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3832 BLONDIE ST APT 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597184524",
            "telephone_number": "262-357-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 ELLIS ST STE 201",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597158813",
            "telephone_number": "406-587-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAEFE",
        "first_name": "MADELINE",
        "middle_name": "SIYAO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "32555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.

Verify at the official NPI Registry.