FUNDAMENTAL KIDS THERAPY LLC
NPI 1922443522
Speech-Language Pathologist in Shoreview, MN
About Fundamental Kids Therapy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FUNDAMENTAL KIDS THERAPY LLC (NPI 1922443522) is a healthcare organization registered as a speech-language pathologist in Shoreview, Minnesota and active in the NPI registry since May 2013. The organization maintains a secondary practice location in Lindstrom and lists Julie M Johnson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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 Kids Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Fundamental Kids Therapy LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
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 Kids Therapy LLC's NPI number?
The NPI number for Fundamental Kids Therapy LLC is 1922443522. It was assigned to this organization in the NPPES registry on May 8, 2013.
Where is Fundamental Kids Therapy LLC located?
Fundamental Kids Therapy LLC is located at 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126. The listed phone number is (612) 888-4757.
What is Fundamental Kids Therapy LLC's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Fundamental Kids Therapy LLC enrolled in Medicare?
Yes. Fundamental Kids Therapy LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fundamental Kids Therapy LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Fundamental Kids Therapy LLC. 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. The largest specialties are Qualified Speech Language Pathologist (3) and Occupational Therapist in Private Practice (2). Of these, 4 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 Kids Therapy LLC was last updated on October 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Fundamental Kids Therapy Llc · NPI 1922443522
Speech-Language Pathologist organization in Shoreview, Minnesota. Organization record, active in the CMS NPPES registry since May 8, 2013.
## Identity
- **NPI:** 1922443522 (Entity type: Organization)
- **Enumerated:** May 8, 2013
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **Organization subpart:** No
- **Authorized official:** Julie Johnson, OWNER
## Practice location
- **Address:** 5985 RICE CREEK PKWY STE 205, Shoreview, MN 55126-5037
- **Phone:** (612) 888-4757 · **Fax:** (612) 808-0005
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Speech Language Pathologist (3), Occupational Therapist in Private Practice (2); 4 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 17, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1922443522) · Data from the CMS NPPES public registry.