Grant Damon Poor, M.S., P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1258 PT Issued in MT

Practice address

15 6TH St S
Fairfield, MT 59436

Phone

(406) 467-3800

Fax

(406) 467-3828

NPI assigned

Jul 13, 2006

Last updated

Nov 14, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Eagle Physical Therapy & Sports Med

  • Physical Therapist
  • Fairfield, MT
  • NPI 1659768224
  NPD (past) Authorized official
• Brian D. McCollom, O.D., Inc.

  • Optometrist
  • Choteau, MT
  • NPI 1780883611
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1194740928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 457",
            "city": "FAIRFIELD",
            "state": "MT",
            "postal_code": "59436",
            "telephone_number": "406-467-3800",
            "fax_number": "406-467-3828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 6TH ST S",
            "city": "FAIRFIELD",
            "state": "MT",
            "postal_code": "59436",
            "telephone_number": "406-467-3800",
            "fax_number": "406-467-3828"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "915 4th St NW",
            "address_purpose": "LOCATION",
            "city": "Choteau",
            "state": "MT",
            "postal_code": "594229123",
            "country_code": "US",
            "telephone_number": "406-466-5763",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POOR",
        "first_name": "GRANT",
        "middle_name": "DAMON",
        "credential": "M.S., P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "1258 PT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340187",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF MT",
            "identifier": "60396",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Front Range Assisted Living, Inc.
• Frontier Family Practice
• Nourish for the Love of Food LLC
• Terra N Opheim
• Pivot Physical Therapy
• Christina Marie Skinner, RD
• Tammie Sue Smith, LCPC
• Carmen Kay Staigmiller, FNP-C
• Still Point Wellness LLC (Still Point Wellness)
• Jill Tex

• Physical Therapist in Fairfield, MT
• Providers in Fairfield, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.

Verify at the official NPI Registry.