Pine Peak Therapy LLC
Physical Therapist · Fosston, MN
Practice location
903 Hilligoss Blvd SEFosston, MN 56542-1541
- Phone
- (218) 435-1210
- Fax
- (218) 435-1175
NPI record
- NPI
- 1982477030
- Entity type
- Organization (Type 2)
- Enumeration date
- October 31, 2023
- Last updated
- June 10, 2025
- Certified
- June 10, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X |
— | — |
| Occupational Therapist | 225X00000X |
— | — |
| Audiologist | 231H00000X |
— | — |
| Speech-Language Pathologist | 235Z00000X |
— | — |
Mailing address
PO Box 300Fosston, MN 56542-0300
- Phone
- (218) 435-1210
Authorized official
- Name
- Mallory Alice Vig, OTR/L
- Title
- Occupational Therapist
- Phone
- (218) 435-1210
Other names
- Pine Peak Audiology
Other practice locations (1)
- 103 1st St W, Fosston, MN 56542-1212 · (218) 431-0009
About Pine Peak Therapy LLC
Pine Peak Therapy LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Physical Therapist (code 225100000X). The practice location is 903 Hilligoss Blvd SE, Fosston, MN 56542-1541. The NPI number 1982477030 was assigned on October 31, 2023 and the record was last updated on June 10, 2025.
The authorized official for this organization is Mallory Alice Vig, OTR/L, Occupational Therapist.
Frequently asked questions
What is the NPI number of Pine Peak Therapy LLC?
The NPI number is 1982477030.
What is the phone number of Pine Peak Therapy LLC?
The phone number listed for the practice location is (218) 435-1210.
Where is Pine Peak Therapy LLC located?
903 Hilligoss Blvd SE, Fosston, MN 56542-1541.
What is the taxonomy code for Pine Peak Therapy LLC?
The primary taxonomy code is 225100000X – Physical Therapist; 3 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physical Therapist providers in Fosston
- Vickie M. Anderson, PT104 Kaiser Ave N
- Shyanne Loiland, DPT900 Hilligoss Blvd SE
- Jacob Arthur Vossler, DPT104 Kaiser Ave N