OrganizationActive
Fundamental Therapy LLC
NPI 1659796860 · Specialist · Picayune, MS
Fundamental Therapy LLC is a Specialist organization in Picayune, MS (NPI 1659796860).
Provider details
- NPI number
- 1659796860
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Sara Braddy, Occupational Therapist(601) 916-8329
- License
- OT2316 (MS)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
311 N Main St
Picayune, MS 39466-3313
Phone: (601) 799-4065
Fax: (601) 620-4117
Street-level locationGet directions
Mailing address
20 Newt Mitchell Rd
Picayune, MS 39466-9224
Registry dates
- Enumerated
- 2014-02-25
- Last updated
- 2015-01-10
Frequently asked questions
- What is Fundamental Therapy LLC's NPI number?
- Fundamental Therapy LLC's National Provider Identifier (NPI) is 1659796860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fundamental Therapy LLC?
- Fundamental Therapy LLC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Fundamental Therapy LLC located?
- Fundamental Therapy LLC's practice location on file with NPPES is 311 N Main St, Picayune, MS 39466-3313.
- What is Fundamental Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Fundamental Therapy LLC is (601) 799-4065.
- Who is the authorized official for Fundamental Therapy LLC?
- The authorized official listed on Fundamental Therapy LLC's NPPES record is Sara Braddy, Occupational Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fundamental Therapy LLC's NPI active?
- Yes — Fundamental Therapy LLC's NPI (1659796860) is active in the NPPES registry as of the last update on 2015-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.