Provider Demographics
NPI:1295764587
Name:VALLEY THERAPIES, INC
Entity type:Organization
Organization Name:VALLEY THERAPIES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PHELPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-843-3280
Mailing Address - Street 1:200 LEAKSVILLE RD
Mailing Address - Street 2:P.O. BOX 48
Mailing Address - City:LURAY
Mailing Address - State:VA
Mailing Address - Zip Code:22835-5301
Mailing Address - Country:US
Mailing Address - Phone:540-743-0502
Mailing Address - Fax:540-743-1525
Practice Address - Street 1:200 LEAKSVILLE RD
Practice Address - Street 2:
Practice Address - City:LURAY
Practice Address - State:VA
Practice Address - Zip Code:22835-5301
Practice Address - Country:US
Practice Address - Phone:540-743-0502
Practice Address - Fax:540-743-1525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2019-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X, 225100000X
VA11314235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA292267OtherANTHEM
VA4981618Medicaid
VA463778OtherMAMSI
VA4981618Medicaid