Active NPI
Anthony V Gagnor, PT, DPT
- Physical Therapist
- Louisville, CO
National Provider Identifier
1770237703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTL.0019415
- Practice address
- 740 S Pierce Ave Ste 5
Louisville, CO 80027-3058 - Phone
- (720) 807-4497
- NPI assigned
- Feb 8, 2022
- Last updated
- May 1, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2022001775 | MO | |
| Physical Therapist | 225100000X | PTL.0019415 | CO | Primary |
Addresses
Primary practice location
740 S Pierce Ave Ste 5
Louisville, CO 80027-3058
Mailing address
2804 W 126TH Ave
Broomfield, CO 80020-3803
Phone (217) 891-0271
Other practice location 1
5058 S Syracuse St Ste 10
Denver, CO 80237-2866
Phone (720) 737-8592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022001775 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1770237703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2804 W 126TH AVE",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800203803",
"telephone_number": "217-891-0271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 S PIERCE AVE STE 5",
"city": "LOUISVILLE",
"state": "CO",
"postal_code": "800273058",
"telephone_number": "720-807-4497"
}
],
"practiceLocations": [
{
"address_1": "5058 S Syracuse St Ste 10",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802372866",
"country_code": "US",
"telephone_number": "720-737-8592",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAGNOR",
"first_name": "ANTHONY",
"middle_name": "V",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-02-08",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2022001775",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "PTL.0019415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.