Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Washatka, PT, DPT, CSCS

Individual provider Physical Therapist · NPI 1679013619

Jonathan Washatka, PT, DPT, CSCS is a Physical Therapist in Private Practice in Burnsville, Minnesota. Qualified in 2017, 9 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota and Virginia.

Years since qualifying
9
Licensed in
MN, VA
In the registry since
2017
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

14451 Grand Ave
Burnsville, MN 55306
Phone: (952) 993-5900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13446 (MN)
Physical Therapist Taxonomy 225100000X · Licence 2305210883 (VA)
Sports Physical Therapist Taxonomy 2251S0007X · Licence 2305210883 (VA)
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 2305210883 (VA)

Record details

NPI number1679013619
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , CSCS
Sole proprietorNo
NPI enumeratedFebruary 23, 2017
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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