FUNDAMENTAL THERAPY SERVICES, LLC
NPI 1780110155
Occupational Therapist in Clayton, GA
About Fundamental Therapy Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FUNDAMENTAL THERAPY SERVICES, LLC (NPI 1780110155) is a healthcare organization registered as an occupational therapist in Clayton, Georgia and active in the NPI registry since May 2017. The organization lists Jennifer Marie Deslich, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fundamental Therapy Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Fundamental Therapy Services, LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Fundamental Therapy Services, LLC's NPI number?
The NPI number for Fundamental Therapy Services, LLC is 1780110155. It was assigned to this organization in the NPPES registry on May 4, 2017.
Where is Fundamental Therapy Services, LLC located?
Fundamental Therapy Services, LLC is located at 165 Ridgecrest Cir, Clayton, GA 30525. The listed phone number is (678) 357-5849.
What is Fundamental Therapy Services, LLC's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Fundamental Therapy Services, LLC enrolled in Medicare?
Yes. Fundamental Therapy Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fundamental Therapy Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Fundamental Therapy Services, LLC, in Occupational Therapist in Private Practice, Physical Therapist in Private Practice and Qualified Speech Language Pathologist. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fundamental Therapy Services, LLC was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.