Active NPI
Lynn Bowman Bathke, PT
- Physical Therapist
- Minnetonka, MN
National Provider Identifier
1194706739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1142
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00850BA | Other | MN | BC/BS |
| 6413709 | Other | MN | MEDICA |
| HP31021 | Other | MN | HEALTHPARTNERS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1142 | MN | MD | Marriage & 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.