Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vickie M Anderson, PT

Individual provider Physical Therapist · NPI 1164984647

Vickie M Anderson, PT is a Physical Therapist in Private Practice in Fosston, Minnesota. Qualified in 1988, 38 years ago. Practices with Headwaters Health PC, a 10-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
38
Licensed in
MN
In the registry since
2019
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

104 Kaiser Ave N
Fosston, MN 56542-1225
Phone: (218) 435-1111
Fax: (218) 435-1117
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 900 Hilligoss Blvd Se, Fosston, MN 56542-1542 — (218) 435-1133
  • 103 W 1st St, Fosston, MN 56542 — (218) 435-1210

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 4419 (MN)

Record details

NPI number1164984647
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedApril 3, 2019
Last updated in NPPESApril 24, 2026
Certification dateApril 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Headwaters Health Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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