Pine Peak Therapy LLC
NPI 1982477030 · Physical Therapist · Fosston, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pine Peak Therapy LLC is a Physical Therapist organization in Fosston, MN (NPI 1982477030).
Provider details
- NPI number
- 1982477030
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mallory Vig, Occupational Therapist(218) 435-1210
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Audiologist231H00000X
Speech, Language and Hearing Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pine Peak Audiology
Additional practice locations (1)
- 103 1st St WFosston, MN 56542-1212Phone: (218) 431-0009
Registry dates
- Enumerated
- 2023-10-31
- Last updated
- 2025-06-10
- Certified
- 2025-06-10
Frequently asked questions
- What is Pine Peak Therapy LLC's NPI number?
- Pine Peak Therapy LLC's National Provider Identifier (NPI) is 1982477030, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pine Peak Therapy LLC?
- Pine Peak Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Pine Peak Therapy LLC located?
- Pine Peak Therapy LLC's practice location on file with NPPES is 903 Hilligoss Blvd Se, Fosston, MN 56542-1541.
- What is Pine Peak Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Pine Peak Therapy LLC is (218) 435-1210.
- Does Pine Peak Therapy LLC accept Medicare?
- Pine Peak Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pine Peak Therapy LLC?
- The authorized official listed on Pine Peak Therapy LLC's NPPES record is Mallory Vig, Occupational Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pine Peak Therapy LLC's NPI active?
- Yes — Pine Peak Therapy LLC's NPI (1982477030) is active in the NPPES registry as of the last update on 2025-06-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.