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

Peter James Gagnon, DPT

Individual provider Physical Therapist · NPI 1568889954

Peter James Gagnon, DPT is a Physical Therapist in Private Practice in Bowling Green, Kentucky. Graduated from University of Kentucky College of Medicine in 2013, 13 years ago. Practices with Physical Therapy of Boulder, a 19-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
13
Trained at
University of Kentucky College of Medicine
Licensed in
KY
In the registry since
2014
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

990 Wilkinson Trce Ste B1
Bowling Green, KY 42103-3404
Phone: (270) 781-8040
Fax: (270) 781-8355
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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 006372 (KY)

Record details

NPI number1568889954
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMarch 24, 2014
Last updated in NPPESMarch 24, 2014

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated 2013 (13 years in practice)
Group practice Physical Therapy Of Boulder — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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