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

Tanner Alan Gagnon

Individual provider Physical Therapist · NPI 1194394775

Tanner Alan Gagnon is a Physical Therapist in Private Practice in Auburn Hills, Michigan. Qualified in 2021, 5 years ago. Practices with Michigan Orthopaedic Surgeons PLLC, a 126-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2021
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Practice location Address checks out

3069 University Dr Ste 230
Auburn Hills, MI 48326-2322
Phone: (248) 243-8770
Fax: (248) 243-8771
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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 5501303367 (MI)

Record details

NPI number1194394775
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2021
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025

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 Michigan Orthopaedic Surgeons Pllc — 126 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Auburn Hills