Individual provider Active NPI

Anthony V Gagnor, PT, DPT

  • Physical Therapist
  • Louisville, CO
National Provider Identifier
1770237703
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTL.0019415 Issued in CO
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
2022001775MOMDPhysical 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.

Verify at the official NPI Registry.