Individual provider Active NPI

Lynn Bowman Bathke, PT

  • Physical Therapist
  • Minnetonka, MN
National Provider Identifier
1194706739
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1142 Issued in MN
Practice address
10721 Smetana Rd
Ste 202
Minnetonka, MN 55343-8080
Phone
(952) 936-9215
Fax
(952) 936-9942
NPI assigned
Nov 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1142 MN Primary

Addresses

Primary practice location

10721 Smetana Rd
Ste 202
Minnetonka, MN 55343-8080

Mailing address

5224 12TH Ave S
Minneapolis, MN 55417-1836
Phone (612) 824-6573

Other identifiers 3

IdentifierTypeStateIssuer
00850BAOtherMNBC/BS
6413709OtherMNMEDICA
HP31021OtherMNHEALTHPARTNERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1142MNMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1194706739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5224 12TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171836",
            "telephone_number": "612-824-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10721 SMETANA RD",
            "address_2": "STE 202",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553438080",
            "telephone_number": "952-936-9215",
            "fax_number": "952-936-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHKE",
        "first_name": "LYNN",
        "middle_name": "BOWMAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "1142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00850BA",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "6413709",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "HP31021",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.