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Active NPI 1376033357 Individual Practitioner Female Practitioner

Mallory Alice Vig , OTR

Occupational Therapist • Fosston, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Mallory Vig, OTR is a certified Occupational Therapist practicing in Fosston, MN. With approximately 8 years of clinical experience since completing medical education in 2018, Mallory Vig delivers high-quality medical care to the local community at 103 W 1ST ST.

Mallory Vig is affiliated with Pine Peak Therapy Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using functional activities, evaluation for occupational therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

103 W 1st St

Fosston, MN 56542

Telephone 2184310009
Associated Practice Facility / Clinic
🏢 Pine Peak Therapy Llc Facility NPI 1982477030

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Fosston, MN

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs Matches City Avg
City Avg: 8.0 Yrs
State Avg: 13.8 Yrs
Regional Practice Density
2 Specialists

Practicing in Fosston, MN (3413 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vig (8 Years) 8 Yrs
Fosston Specialty Average (8.0 Years) 8.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
105 12 $50.00 $29.58
97165 Evaluation for occupational therapy, typically 30 minutes
13 13 $150.00 $99.73

Medical Specialties & State Licenses

CMS Verified: 2025-06-10
Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

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.

Hospital & Practice Group Affiliations

Pine Peak Therapy Llc

903 Hilligoss Blvd Se, Fosston, MN 565421541

Phone: 2184351210

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Business Mailing Address June 10, 2025

Registered at PO BOX 300, FOSSTON, MN 565420300 (Tel: 2184351210)

📍
Updated Practice Location December 18, 2023

Registered at 103 W 1ST ST, FOSSTON, MN 56542 (Tel: 2184310009)

📍
Updated Business Mailing Address December 18, 2023

Registered at 45501 320TH AVE SE, FOSSTON, MN 565429237 (Tel: 2184310009)

👤
Provider Name / Credentials Updated April 05, 2019

Recorded as MALLORY VIG, OTR

NPI Profile Active May 15, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 15, 2018

Registered at 900 HILLIGOSS BLVD SE, FOSSTON, MN 56542 (Tel: 2184351133)

📍
Updated Business Mailing Address May 15, 2018

Registered at 400 E 3RD ST, DULUTH, MN 558051951 (Tel: 2187863146)

👤
Provider Name / Credentials Updated May 15, 2018

Recorded as MALLORY MANECKE, OTR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 15, 2018

Occupational Therapist

🟢
Initial NPI Registration & Enumeration May 15, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376033357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2018
Last Update: June 10, 2025
Sole Proprietor: No

Mailing Address

Po Box 300

Fosston, MN 565420300

Phone: 2184351210

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.