Grant Damon Poor, M.S., P.T.
Individual provider Active NPI Physical Therapist · Fairfield, MT
NPI 1194740928 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1194740928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1258 PT (MT)
- Practice address
- 15 6TH St S
Fairfield, MT 59436 - Phone
- (406) 467-3800
- Fax
- (406) 467-3828
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1258 | MT | MD | Addiction (Substance Use Disorder) Counselor |
| 1258 PT | MT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Physical Therapy & Sports Med | Physical Therapist | Past |
Accepting new patients |
| Brian D. McCollom, O.D., Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1258 PT | MT | Yes |
Addresses
Primary practice location
15 6TH St S
Fairfield, MT 59436
Mailing address
PO Box 457
Fairfield, MT 59436
Phone (406) 467-3800
Other practice location 1
915 4th St NW
Choteau, MT 59422-9123
Phone (406) 466-5763
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60396 | Other | MT | BC/BS OF MT |
| 0340187 | Medicaid | MT |
Other providers in Fairfield, MT
- Preslie Fleming
- Front Range Assisted Living, Inc.
- Frontier Family Practice
- Nourish for the Love of Food LLC
- Pivot Physical Therapy
- Christina Marie Skinner
- Tammie Sue Smith
- Carmen Kay Staigmiller
- Still Point Wellness LLC
- Jill Tex
All providers in Fairfield, MT · Physical Therapist in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.