Willow Bay Therapy, Llc is a
Clinic/center - Mental Health (including Community Mental Health Center) based in Plymouth, Minnesota. Willow Bay Therapy, Llc is licensed to practice in Minnesota (license number 3192) and their current practice location is
12805 Highway 55 Ste 216, Plymouth, Minnesota. It can be reached at their office (for appointments etc.) via phone at
(612) 440-1450.
NPI number for Willow Bay Therapy, Llc is 1104354406 and their current mailing address is 3933 Bloomington Ave, Minneapolis, Minnesota. Willow Bay Therapy, Llc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1104354406.
Healthcare Provider's Profile
| Full Name | Willow Bay Therapy, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
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| Location | 12805 Highway 55 Ste 216, Plymouth, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104354406
- Provider Enumeration Date: 05/31/2017
- Last Update Date: 02/23/2026
Medical Identifiers
Medical identifiers for Willow Bay Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104354406 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Secondary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 3192 (Minnesota) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Willow Bay Therapy, Llc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Willow Bay Therapy, Llc
3933 Bloomington Ave,
Minneapolis, MN 55407-2843
Ph: (612) 961-1015 | Willow Bay Therapy, Llc
12805 Highway 55 Ste 216,
Plymouth, MN 55441-3859
Ph: (612) 440-1450 |
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