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

Lucas Gagnon

Individual provider Physical Therapist · NPI 1346968732

Lucas Gagnon is a Physical Therapist in Private Practice in Gorham, Maine. Qualified in 2022, 4 years ago. Practices with Back in Motion Physical Therapy LLC, a 64-clinician group and accepts Medicare assignment. Licensed in Maine.

Years since qualifying
4
Licensed in
ME
In the registry since
2022
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Practice location Address checks out

94 Main St Unit 2
Gorham, ME 04038-1340
Phone: (207) 839-5860
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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 PT6326 (ME)

Record details

NPI number1346968732
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 22, 2022
Certification dateAugust 21, 2022
Mailing address625 Kenmoor Ave Se Ste 100, Grand Rapids, MI 49546-2395

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Back In Motion Physical Therapy Llc — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Gorham