VALLEY-BAY THERAPY INC. NPI 1720138514

NPI Information

  • NPI: 1720138514
  • Provider Name: VALLEY-BAY THERAPY INC.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 3305 N BALLARD RD STE C
    APPLETON, WI
    ZIP 54911
  • Phone: (920) 735-9234

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NPI Details

VALLEY-BAY THERAPY INC. is a specialist in Appleton, WI. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. VALLEY-BAY THERAPY INC. NPI is 1720138514. The provider is registered as an organization entity type.

The provider's business location address is:

3305 N BALLARD RD STE C
APPLETON, WI
ZIP 54911-001
Phone: (920) 735-9234
Fax: (920) 739-8288

The provider's authorized official is Randall J Bricco .
The authorized official title is President and has the following contact phone number (920) 735-9234.

The enumeration date for this NPI number is 1/12/2007 and was last updated on 12/28/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0400XClinic/CenterRehabilitationNo
2224Z00000XOccupational Therapy AssistantNo
3225X00000XOccupational TherapistNo
4225100000XPhysical TherapistNo
5225200000XPhysical Therapy AssistantNo
6235Z00000XSpeech-Language PathologistNo
7174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141213100MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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