Taylor Jones Peterson, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A3177 Issued in MN

Practice address

8100 W 78TH St Ste 200
Edina, MN 55439-2560

Phone

(952) 914-8065

NPI assigned

May 17, 2021

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1558935239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392560",
            "telephone_number": "952-914-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8100 W 78TH ST STE 200",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392560",
            "telephone_number": "952-914-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TAYLOR",
        "middle_name": "JONES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A3177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randolph K. Peterson, M.D.
• Robert K Peterson, DDS
• Rodney Holmes Peterson, M.D.
• Stephen Wayne Peterson, LPCC
• Tara Peterson, LICSW, LADC
• Patricia Mary Pettit, M.D.
• Carol Jean Pexa, C.R.N.A.
• Chloe G Peyton, MD
• Brianna Marie Pezon, MSW, LICSW, MAOL
• Jackie Hoaitram Pham Ha, DPM

• Physical Therapy Assistant in Edina, MN
• Providers in Edina, MN by specialty
• Physical Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.