Active NPI
Gage Dennis Grossman, MSPT
- Physical Therapist
- Fort Benton, MT
National Provider Identifier
1720176951
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4328
- Practice address
- 1501 Saint Charles St
Fort Benton, MT 59442-7710 - Phone
- (406) 622-6111
- Fax
- (406) 622-5670
- NPI assigned
- Oct 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2058 | NV | |
| Physical Therapist | 225100000X | 5471 | OR | |
| Physical Therapist | 225100000X | 4328 | MT | Primary |
Addresses
Primary practice location
1501 Saint Charles St
Fort Benton, MT 59442-7710
Mailing address
1501 Saint Charles St
Fort Benton, MT 59442-7710
Phone (406) 622-6111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5471 | OR | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Physical Therapy Inc PS | Physical Therapist | Past | Accepting new patients |
| Mountain View Physical Therapy and Sports Injury Clinic, Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Great Falls, MT
- NPI 1356522833
-
- Physical Therapist
- Kennewick, WA
- NPI 1457397531
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763251200000",
"number": "1720176951",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 SAINT CHARLES ST",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "594427710",
"telephone_number": "406-622-6111",
"fax_number": "406-622-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 SAINT CHARLES ST",
"city": "FORT BENTON",
"state": "MT",
"postal_code": "594427710",
"telephone_number": "406-622-6111",
"fax_number": "406-622-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROSSMAN",
"first_name": "GAGE",
"middle_name": "DENNIS",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-11",
"last_updated": "2025-11-16",
"certification_date": "2025-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2058",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "5471",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MT",
"license": "4328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Benton, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.