ETHAN TAYLOR PT
NPI 1306739438
Physical Therapist in Eagan, MN

Active since May 29, 2025Accepts Medicare Assignment
2645 VIKINGS CIR, EAGAN, MN 55121(952) 456-7600 Get Directions Write a Review

NPPES record last updated: June 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2025, May 29, 2025 (2 updates tracked since 2025).

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

NPI1306739438
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameETHAN TAYLORCredential: PT
Location Address2645 VIKINGS CIREagan, MN 55121-1962
Mailing Address3500 American Blvd W Ste 300Bloomington, MN 55431-4442 · (952) 512-5600
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2025
Enumeration DateMay 29, 2025
Last NPPES UpdateJune 12, 20252 updates tracked since enumeration
NPPES CertifiedJune 12, 2025
✔ NPI 1306739438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in MN · 13888
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
2645 VIKINGS CIR, Eagan, MN 55121

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.

PECOS PAC ID2062921422
PECOS Enrollment IDI20250605001734

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.

Orthopaedic Surgery
3500 AMERICAN BLVD W STE 300
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.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Physical Therapist
2645 VIKINGS CIR
EAGAN, MN 55121
Physical Therapist
2645 VIKINGS CIR
EAGAN, MN 55121
Dietitian, Registered
2645 VIKINGS CIR
EAGAN, MN 55121
Dietitian, Registered
2645 VIKINGS CIR
EAGAN, MN 55121
Dietitian, Registered
2645 VIKINGS CIR
EAGAN, MN 55121
Physical Therapist
2645 VIKINGS CIR
EAGAN, MN 55121
Physical Therapist
2645 VIKINGS CIR
EAGAN, MN 55121
Chiropractor
2645 VIKINGS CIR
EAGAN, MN 55121

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.