Individual provider Active NPI

Graham Gage

  • Physical Therapist
  • Missoula, MT
National Provider Identifier
1093379091
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT297421 Issued in CA
Practice address
150 E Spruce St
Missoula, MT 59802-4504
Phone
(406) 251-2323
NPI assigned
Apr 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 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 PT297421 CA Primary

Addresses

Primary practice location

150 E Spruce St
Missoula, MT 59802-4504

Mailing address

5000 Blue Mountain Rd
Missoula, MT 59804-9213
Phone (406) 251-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191125002086 CA Practitioner - Physical Therapist in Private Practice 5890128201 Reassigns benefits to 1 organization
I20230322002856 MT Practitioner - Physical Therapist in Private Practice 5890128201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Herman Ostrow School of Dentistry of Usc, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 E Spruce St
Suite a
Missoula, MT 59802-4504
Phone (406) 549-0064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT297421CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dodge Works PT, Inc Dba Alpine Physical Therapy Physical Therapist CurrentSince Dec 17, 2022 Accepting new patients
Harbor Physical Therapy & Sports Medical Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Dodge Works PT, Inc Dba Alpine Physical Therapy Physical Therapist CurrentSince Dec 17, 2022 Accepting new patients

Locations

1294 W 6th St
Ste 101
San Pedro, CA 90731
Phone (310) 547-1850

5000 Blue Mountain Rd
Missoula, MT 59804
Phone (406) 251-2323

150 E Spruce St
Missoula, MT 59802
Phone (406) 207-3787

150 E Spruce St
Ste A
Missoula, MT 59802
Phone (406) 549-0064

1510 S Reserve St
Missoula, MT 59801
Phone (406) 251-2323

Organizations & group practices 3

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": "1556064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1093379091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 BLUE MOUNTAIN RD",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598049213",
            "telephone_number": "406-251-2323",
            "fax_number": "406-251-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E SPRUCE ST",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598024504",
            "telephone_number": "406-251-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGE",
        "first_name": "GRAHAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-24",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT297421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; 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.