Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grant Michael Black, PT, DPT

Individual provider Physical Therapist · NPI 1043986888

Grant Michael Black, PT, DPT is a Physical Therapist in Private Practice in Longmont, Colorado. Qualified in 2021, 5 years ago. Practices with Orthopaedic and Spine Center of the Rockies PC, a 146-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
5
Licensed in
CO
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1610 Dry Creek Dr
Longmont, CO 80503-6405
Phone: (720) 494-4750
Fax: (720) 494-4751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 300 Exempla Cir Ste 170, Lafayette, CO 80026-3390 — (720) 494-4750

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTL.0017868 (CO)

Record details

NPI number1043986888
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedAugust 20, 2021
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024
Mailing address1610 Dry Creek Dr, Longmont, CO 80503-6405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Orthopaedic And Spine Center Of The Rockies Pc — 146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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