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

Dr. Daniel Marc Gagnon, DPT

Individual provider Physical Therapist · NPI 1285386441

Dr. Daniel Marc Gagnon, DPT is a Physical Therapist in Private Practice in Patchogue, New York. Qualified in 2021, 5 years ago. Practices with Sports Physical Therapy Occupational Therapy and Rehabilitation Servic, a 529-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2022
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

77 Route 112 Ste F
Patchogue, NY 11772-1230
Phone: (631) 207-2370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 04749301 (NY)

Record details

NPI number1285386441
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 19, 2022
Last updated in NPPESJanuary 19, 2022
Certification dateNovember 26, 2021
Mailing address90 Maddox Ave, Islip, NY 11751-2906

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 Sports Physical Therapy Occupational Therapy And Rehabilitation Servic — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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