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

Molly Axvig, DPT

Individual provider Physical Therapist · NPI 1659857290

Molly Axvig, DPT is a Physical Therapist in Private Practice in Forest Lake, Minnesota. Qualified in 2018, 8 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

146 Lake St N
Forest Lake, MN 55025-2518
Phone: (651) 275-4706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2515 White Bear Ave N Ste A11, Maplewood, MN 55109-5118 — (651) 229-5466

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11177 (MN)

Record details

NPI number1659857290
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 17, 2018
Last updated in NPPESSeptember 1, 2020
Certification dateSeptember 1, 2020
Mailing address7581 9th St N Ste 100, Oakdale, MN 55128-6635

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Forest Lake