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

Jesse C Heaton, DPT

Individual provider Physical Therapist · NPI 1508356361

Jesse C Heaton, DPT is a Physical Therapist in Private Practice in Lake Elmo, Minnesota. Qualified in 2018, 8 years ago. Practices with Infinite Health Collaborative, PA, a 814-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

9242 Hudson Blvd N Ste 400
Lake Elmo, MN 55042-8701
Phone: (952) 835-4512
Fax: (888) 425-0398
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 3200 Labore Rd Ste 102, Vadnais Heights, MN 55110-5189 — (952) 835-4512

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11083 (MN)
Physical Therapist Taxonomy 225100000X

Record details

NPI number1508356361
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 16, 2018
Last updated in NPPESJuly 7, 2021
Certification dateJuly 7, 2021
Mailing address7825 3rd St N Ste 105, Oakdale, MN 55128-5444

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Infinite Health Collaborative, Pa — 814 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lake Elmo