Individual provider Active NPI

Kelly Lenk, DPT

  • Physical Therapist
  • Edina, MN
National Provider Identifier
1265295976
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11518 Issued in MN
Practice address
6600 France Ave S Ste 164
Edina, MN 55435-1802
Phone
(952) 600-5882
Fax
(844) 444-0718
NPI assigned
Feb 5, 2024
Last updated
Feb 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 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 11518 MN Primary

Addresses

Primary practice location

6600 France Ave S Ste 164
Edina, MN 55435-1802

Mailing address

6600 France Ave S Ste 164
Edina, MN 55435-1802
Phone (952) 600-5882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240328002873 MN Practitioner - Physical Therapist in Private Practice 9133566920 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11518MNMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Pediatric Movement LLC Physical Therapist CurrentSince Jan 20, 2024 Accepting new patients
Center for Pediatric Movement LLC CurrentSince Jan 20, 2024 Accepting new patients
Center for Pain Management, P.a. Past Accepting new patients

Locations

6600 France Ave S
Ste 164
Edina, MN 55435
Phone (612) 889-0973

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1707091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770336000000",
    "number": "1265295976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 164",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351802",
            "telephone_number": "952-600-5882",
            "fax_number": "844-444-0718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 FRANCE AVE S STE 164",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554351802",
            "telephone_number": "952-600-5882",
            "fax_number": "844-444-0718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENK",
        "first_name": "KELLY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-05",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "11518",
            "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 Feb 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.