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

Ethan Taylor, PT

Individual provider Physical Therapist · NPI 1306739438

Ethan Taylor, PT is a Physical Therapist in Private Practice in Eagan, Minnesota. Graduated from University of Wisconsin School of Medicine in 2025, 1 year ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
1
Trained at
University of Wisconsin School of Medicine
Licensed in
MN
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

2645 Vikings Cir
Eagan, MN 55121-1962
Phone: (952) 456-7600
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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 13888 (MN)

Record details

NPI number1306739438
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMay 29, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025
Mailing address3500 American Blvd W Ste 300, Bloomington, MN 55431-4442

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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