Fundamental Kids Therapy LLC
NPI 1922443522 · Speech-Language Pathologist · Shoreview, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fundamental Kids Therapy LLC is a Speech-Language Pathologist organization in Shoreview, MN (NPI 1922443522).
Provider details
- NPI number
- 1922443522
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Julie Johnson, Owner(952) 297-2460
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Occupational Therapist225X00000X
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
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 12732 Lake BlvdLindstrom, MN 55045-9342Phone: (612) 888-4757
Registry dates
- Enumerated
- 2013-05-08
- Last updated
- 2021-10-17
- Certified
- 2021-10-17
Frequently asked questions
- What is Fundamental Kids Therapy LLC's NPI number?
- Fundamental Kids Therapy LLC's National Provider Identifier (NPI) is 1922443522, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fundamental Kids Therapy LLC?
- Fundamental Kids Therapy LLC is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Fundamental Kids Therapy LLC located?
- Fundamental Kids Therapy LLC's practice location on file with NPPES is 5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037.
- What is Fundamental Kids Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Fundamental Kids Therapy LLC is (612) 888-4757.
- Does Fundamental Kids Therapy LLC accept Medicare?
- Fundamental Kids Therapy 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 Kids Therapy LLC?
- The authorized official listed on Fundamental Kids Therapy LLC's NPPES record is Julie Johnson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fundamental Kids Therapy LLC's NPI active?
- Yes — Fundamental Kids Therapy LLC's NPI (1922443522) is active in the NPPES registry as of the last update on 2021-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.