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

Ashley D. Fauth

Individual provider Physical Therapist · NPI 1164778718

Ashley D. Fauth is a Physical Therapist in Private Practice in Twin Lakes, Wisconsin. Qualified in 2012, 14 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012

Practice location Address checks out

237 E Main St
Twin Lakes, WI 53181-9681
Phone: (262) 877-4884
Fax: (262) 877-4629
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11995-24 (WI)

Record details

NPI number1164778718
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2012
Last updated in NPPESAugust 16, 2024
Certification dateAugust 16, 2024
Mailing address3048 Momentum Pl, Chicago, IL 60689-5330

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Twin Lakes