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

Dr. Taylor J Freetly, MD

Individual provider Orthopaedic Surgery Physician · NPI 1104446996

Dr. Taylor J Freetly, MD is an Orthopedic Surgery in Blaine, Minnesota. Graduated from State University of Ny Upstate Medical University in 2020, 6 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Trained at
State University of Ny Upstate Medical University
Licensed in
MN
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

11225 Ulysses St NE
Blaine, MN 55434-4261
Phone: (763) 302-2600
Fax: (763) 302-2601
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 79997 (MN)
Orthopaedic Surgery Physician Taxonomy 207X00000X · Licence 79997 (MN)

Record details

NPI number1104446996
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 21, 2020
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolSTATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated 2020 (6 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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