=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316865579
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RILEE GRAY-SMITH DPT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/07/2026
-----------------------------------------------------
Last Update Date | 07/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4515 VALLEY COMMONS DR STE 101
-----------------------------------------------------
City | BOZEMAN
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59718-4531
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 406-404-1897
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 714 COLLEGE AVE
-----------------------------------------------------
City | DEER LODGE
-----------------------------------------------------
State | MT
-----------------------------------------------------
Zip | 59722-1609
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251X0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Physical Therapist
-----------------------------------------------------
License Number | PRD-PT-LIC-31702
-----------------------------------------------------
License Number State | MT
-----------------------------------------------------