Active NPI
Kyra Marie Peloquin, PT, DPT
- Physical Therapist
- Edina, MN
National Provider Identifier
1831025709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14435
- Practice address
- 6500 France Ave S
Edina, MN 55435-1703 - Phone
- (612) 504-6402
- NPI assigned
- Jun 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 14435 | MN | Primary |
Addresses
Primary practice location
6500 France Ave S
Edina, MN 55435-1703
Mailing address
6500 France Ave S
Edina, MN 55435-1703
Phone (612) 504-6402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2026
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2830 100TH St
Suite 100
Urbandale, IA 50322-3859
2830 100TH St
Suite 100
Urbandale, IA 50322-3874
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1781827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1831025709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6500 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554351703",
"telephone_number": "612-504-6402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6500 FRANCE AVE S",
"city": "EDINA",
"state": "MN",
"postal_code": "554351703",
"telephone_number": "612-504-6402"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELOQUIN",
"first_name": "KYRA",
"middle_name": "MARIE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-06-19",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "14435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.