MALLORY ALICE VIG OTR
NPI 1376033357
Occupational Therapist in Fosston, MN

Active since May 15, 2018Accepts Medicare Assignment
103 W 1ST ST, FOSSTON, MN 56542(218) 431-0009 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 10, 2025, Apr 5, 2019, May 15, 2018 (3 updates tracked since 2018).

About Mallory Alice Vig Otr NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY ALICE VIG OTR (NPI 1376033357) is an individual occupational therapist in Fosston, Minnesota and active in the NPI registry since May 2018. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1376033357
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMALLORY ALICE VIGCredential: OTR
Location Address103 W 1ST STFosston, MN 56542
Mailing AddressPo Box 300Fosston, MN 56542-0300 · (218) 435-1210
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 15, 2018
Last NPPES UpdateJune 10, 20253 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
NPI 1376033357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
103 W 1ST ST, Fosston, MN 56542

Other Names 1

Former Name (1)Mallory Alice Manecke

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mallory Alice Vig Otr is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143694737
PECOS Enrollment IDI20230322001510

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
105 services12 patients
Evaluation for occupational therapy, typically 30 minutes 97165
An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
13 services13 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Vig's NPI number?

The NPI number for Mallory Vig is 1376033357. It was assigned to this individual provider in the NPPES registry on May 15, 2018. The provider is also known as Mallory Alice Manecke.

Where is Mallory Vig located?

Mallory Vig practices at 103 W 1st St, Fosston, MN 56542. The listed phone number is (218) 431-0009.

What is Mallory Vig's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Mallory Vig enrolled in Medicare?

Yes. Mallory Vig is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mallory Vig accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Mallory Vig as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mallory Vig was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.