Fundamental Therapy Services, LLC
NPI 1780110155 · Occupational Therapist · Clayton, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fundamental Therapy Services, LLC is a Occupational Therapist organization in Clayton, GA (NPI 1780110155).
Provider details
- NPI number
- 1780110155
- Entity type
- Organization
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Deslich, Owner(678) 357-5849
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2017-05-04
- Last updated
- 2023-10-30
- Certified
- 2023-10-30
Frequently asked questions
- What is Fundamental Therapy Services, LLC's NPI number?
- Fundamental Therapy Services, LLC's National Provider Identifier (NPI) is 1780110155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fundamental Therapy Services, LLC?
- Fundamental Therapy Services, LLC is classified in the NPPES registry as Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Fundamental Therapy Services, LLC located?
- Fundamental Therapy Services, LLC's practice location on file with NPPES is 165 Ridgecrest Cir, Clayton, GA 30525-4110.
- What is Fundamental Therapy Services, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fundamental Therapy Services, LLC is (678) 357-5849.
- Does Fundamental Therapy Services, LLC accept Medicare?
- Fundamental Therapy Services, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fundamental Therapy Services, LLC?
- The authorized official listed on Fundamental Therapy Services, LLC's NPPES record is Jennifer Deslich, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fundamental Therapy Services, LLC's NPI active?
- Yes — Fundamental Therapy Services, LLC's NPI (1780110155) is active in the NPPES registry as of the last update on 2023-10-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.