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

MS. Mary Lisa Fauble, PTA

Individual provider Physical Therapy Assistant · NPI 1720502214

MS. Mary Lisa Fauble, PTA is a Physical Therapy Assistant in Madison, Wisconsin. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

202 S Park St
Madison, WI 53715-1507
Phone: (608) 417-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1720502214
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedJuly 27, 2017
Last updated in NPPESJuly 21, 2022

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