PINE PEAK THERAPY LLC
NPI 1982477030
Physical Therapist in Fosston, MN
About Pine Peak Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE PEAK THERAPY LLC (NPI 1982477030), doing business as Pine Peak Audiology, is a healthcare organization registered as a physical therapist in Fosston, Minnesota and active in the NPI registry since October 2023. The organization maintains a secondary practice location in Fosston and lists Mallory Alice Vig, Occupational Therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Secondary Practice Location 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pine Peak Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Pine Peak Therapy LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pine Peak Therapy LLC's NPI number?
The NPI number for Pine Peak Therapy LLC is 1982477030. It was assigned to this organization in the NPPES registry on October 31, 2023. The provider is doing business as Pine Peak Audiology.
Where is Pine Peak Therapy LLC located?
Pine Peak Therapy LLC is located at 903 Hilligoss Blvd SE, Fosston, MN 56542. The listed phone number is (218) 435-1210.
What is Pine Peak Therapy LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Pine Peak Therapy LLC enrolled in Medicare?
Yes. Pine Peak Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pine Peak Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Pine Peak Therapy LLC, in Occupational Therapist in Private Practice, Physical Therapist in Private Practice and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Pine Peak Therapy LLC accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Pine Peak Therapy LLC 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 Pine Peak Therapy LLC 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 16 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.
# Pine Peak Therapy Llc · NPI 1982477030
Physical Therapist organization in Fosston, Minnesota. Organization record, active in the CMS NPPES registry since October 31, 2023.
## Identity
- **NPI:** 1982477030 (Entity type: Organization)
- **Enumerated:** October 31, 2023
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Also known as:** Pine Peak Audiology (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mallory Vig, OCCUPATIONAL THERAPIST
## Practice location
- **Address:** 903 HILLIGOSS BLVD SE, Fosston, MN 56542-1541
- **Phone:** (218) 435-1210 · **Fax:** (218) 435-1175
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Occupational Therapist in Private Practice (2), Physical Therapist in Private Practice (2), Qualified Speech Language Pathologist (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1982477030) · Data from the CMS NPPES public registry.