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FUNDAMENTAL KIDS THERAPY LLC
NPI 1922443522
Speech-Language Pathologist in Shoreview, MN

Active since May 08, 2013
5985 RICE CREEK PKWY STE 205, SHOREVIEW, MN 55126(612) 888-4757(612) 808-0005 Get Directions Write a Review

NPPES record last updated: October 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 17, 2021, May 5, 2021, Sep 27, 2020 and 1 more (4 updates tracked since 2019).

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

NPI1922443522
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameFUNDAMENTAL KIDS THERAPY LLC
Location Address5985 RICE CREEK PKWY STE 205Shoreview, MN 55126-5037
Mailing Address5985 Rice Creek Pkwy Ste 205Shoreview, MN 55126-5037 · (612) 888-4757 · Fax (612) 808-0005
Phone(612) 888-4757
Fax(612) 808-0005
Organization SubpartNo
Authorized OfficialJulie M JohnsonOwner · (952) 297-2460
Enumeration DateMay 8, 2013
Last NPPES UpdateOctober 17, 20214 updates tracked since enumeration
NPPES CertifiedOctober 17, 2021
✔ NPI 1922443522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in MN · 8614
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Also ListedOccupational TherapistTaxonomy 225X00000X
5985 RICE CREEK PKWY STE 205, Shoreview, MN 55126
Open in Google Maps ↗

Secondary Practice Location 1

Location 112732 Lake BlvdLindstrom, MN 55045-9342 · Phone (612) 888-4757

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABBY HUSFELDT MS, CCC-SLP
Speech-Language Pathologist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
LANEY LEMERE CCC-SLP
Speech-Language Pathologist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
MOLLY HUNTER OTR/L
Occupational Therapist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
JULIE JOHNSON CCC-SLP
Speech-Language Pathologist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
DR. TIFFANY VANG-SUTTON OTD
Occupational Therapist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757
TONI HENNING MS, CCC-SLP
Speech-Language Pathologist
5985 RICE CREEK PKWY STE 205
SHOREVIEW, MN 55126
Ramsey County (612) 888-4757

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.

What insurance does Fundamental Kids Therapy LLC accept?

Health plans from Medica list Fundamental Kids Therapy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 4 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.