ETHAN TAYLOR PT
NPI 1306739438
Physical Therapist in Eagan, MN
About Ethan Taylor Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN TAYLOR PT (NPI 1306739438) is an individual physical therapist in Eagan, Minnesota, licensed in Minnesota (13888) and active in the NPI registry since May 2025. He is a graduate of University Of Wisconsin School Of Medicine (2025).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan Taylor Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Taylor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Bloomington, MN 55431
- Reassigned Medicare billing, Minnesota enrollment
- 728 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55121 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ethan Taylor's NPI number?
The NPI number for Ethan Taylor is 1306739438. It was assigned to this individual provider in the NPPES registry on May 29, 2025.
Where is Ethan Taylor located?
Ethan Taylor practices at 2645 Vikings Cir, Eagan, MN 55121. The listed phone number is (952) 456-7600.
What is Ethan Taylor's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Ethan Taylor enrolled in Medicare?
Yes. Ethan Taylor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Ethan Taylor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Taylor reassigns Medicare benefits to Infinite Health Collaborative, PA (Bloomington, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Taylor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ethan Taylor was last updated on June 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.