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

Mrs. Molly Ann Fauske, PT

Individual provider Physical Therapist · NPI 1013495704

Mrs. Molly Ann Fauske, PT is a Physical Therapist in Private Practice in Lake Oswego, Oregon. Qualified in 2000, 26 years ago. Works from 2 locations. Licensed in Oregon.

Years since qualifying
26
Licensed in
OR
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

17550 Provost St Ste 201A
Lake Oswego, OR 97034-5199
Phone: (503) 872-2441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 200 S Hazel Dell Way Ste 210, Canby, OR 97013-7828 — (503) 263-9550

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4033 (OR)

Record details

NPI number1013495704
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 3, 2018
Last updated in NPPESApril 21, 2023
Certification dateApril 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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