Individual provider Active NPI

Gabriel Daniel Gornet, DPT

  • Physical Therapist
  • Coon Rapids, MN
National Provider Identifier
1659015550
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12522 Issued in MN
Practice address
2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046
Phone
(763) 537-6000
Fax
(763) 537-6666
NPI assigned
Apr 26, 2022
Last updated
Nov 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12522 MN Primary

Addresses

Primary practice location

2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046

Mailing address

2104 Northdale Blvd NW Ste 220
Coon Rapids, MN 55433-3046
Phone (763) 537-6000

Other practice location 1

7400 France Ave S Ste 100
Edina, MN 55435-4738
Phone (763) 537-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220606001538 MN Practitioner - Physical Therapist in Private Practice 3375921273 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nura PLLCGroup PAC ID 2769378942, 33 clinicians

Practice addresses (Care Compare)

2104 Northdale Blvd NW
Suite 220
Minneapolis, MN 55433-3046
Phone (763) 537-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12522MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Nura PLLC CurrentSince Apr 1, 2025 Accepting new patients
Nura PLLC CurrentSince Apr 1, 2025 Accepting new patients
Minnesota Surgery Center, LTD. Past Accepting new patients

Locations

2104 Northdale Blvd NW
Ste 220
Minneapolis, MN 55433
Phone (763) 507-6000

7400 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (612) 597-6316

Interoperability endpoints

  • Direct secure messaging: gabriel.gornet.p21@direct.painphysicians.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1659015550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 220",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333046",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2104 NORTHDALE BLVD NW STE 220",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554333046",
            "telephone_number": "763-537-6000",
            "fax_number": "763-537-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 France Ave S Ste 100",
            "address_purpose": "LOCATION",
            "city": "Edina",
            "state": "MN",
            "postal_code": "554354738",
            "country_code": "US",
            "telephone_number": "763-537-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORNET",
        "first_name": "GABRIEL",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-26",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "12522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coon Rapids, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.