FUNDAMENTAL THERAPY SERVICES, LLC
NPI 1780110155
Occupational Therapist in Clayton, GA

NPI Status: Active since May 04, 2017

Contact Information

165 RIDGECREST CIR
CLAYTON, GA
ZIP 30525
Phone: (678) 357-5849

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  • Organization
  • Occupational Therapist

About FUNDAMENTAL THERAPY SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Fundamental Therapy Services, Llc, a provider established in Clayton, Georgia operating as a Occupational Therapist. The healthcare provider is registered in the NPI registry with number 1780110155 assigned on May 2017. The practitioner's primary taxonomy code is 225X00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Fundamental Therapy Services, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mrs. Jennifer Marie Deslich Ms, Otr/l (Owner)

NPI
1780110155
Provider Name
FUNDAMENTAL THERAPY SERVICES, LLC
Entity Type
Organization
Location Address
165 RIDGECREST CIR CLAYTON, GA 30525
Location Phone
(678) 357-5849
Mailing Address
4649 E WOLF CREEK RD TIGER, GA 30576
Mailing Phone
(678) 357-5849
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2017
Last Update Date
10-30-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist

Taxonomy Code
225X00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JENNIFER MARIE DESLICH MS, OTR/L

Authorized Official Title
OWNER
Authorized Official Phone
(678) 357-5849

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
003141022EMEDICAID (05)GA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780110155, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
1
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 0 → 0 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 2 + 1 + 0 + 1 + 1 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1780110155.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
165 RIDGECREST CIR, B
CLAYTON, GA 30525
Speech-Language Pathologist
165 RIDGECREST CIR
CLAYTON, GA 30525
Occupational Therapist (Pediatrics)
165 RIDGECREST CIR
CLAYTON, GA 30525
Speech-Language Pathologist
165 RIDGECREST CIR
CLAYTON, GA 30525
Occupational Therapist
165 RIDGECREST CIR
CLAYTON, GA 30525
Speech-Language Pathologist
165 RIDGECREST CIR
CLAYTON, GA 30525
Physical Therapist (Pediatrics)
165 RIDGECREST CIR
CLAYTON, GA 30525

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780110155, enumerated as an "organization" on May 04, 2017.

The provider is located at 165 RIDGECREST CIR CLAYTON, GA 30525 and the phone number is (678) 357-5849.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.