Fundamental Therapies is a medicare enrolled "Clinic/center - Multi-specialty" provider in Troy, Michigan. Their current practice location is
1950 E Wattles Rd Ste 108, Troy, Michigan. You can reach out to their office (for appointments etc.) via phone at
(248) 882-2797.
Fundamental Therapies is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fundamental Therapies
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1710553722.
Healthcare Provider's Profile
| Full Name | Fundamental Therapies |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Multi-specialty |
|---|
| Location | 1950 E Wattles Rd Ste 108, Troy, Michigan |
|---|
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1710553722
- Provider Enumeration Date: 06/01/2021
- Last Update Date: 09/08/2021
Medicare PECOS Information:
- PECOS PAC ID: 4486055761
- Enrollment ID: O20210623003906
Medical Identifiers
Medical identifiers for Fundamental Therapies such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710553722 | NPI | - | NPPES |
| 7101004463 | Other | MI | SLP STATE LICENSE |
| 5501018572 | Other | MI | PT STATE LICENSE |
| 7101002637 | Other | MI | SLP STATE LICENSE |
| 5201010755 | Other | MI | OT STATE LICENSE |
| 7101001116 | Other | MI | SLP STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | (* (Not Available)) | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Fundamental Therapies acts as a billing entity for following providers:
| Provider Name | Lana Spomer |
|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1003319153
PECOS PAC ID: 8022367184
Enrollment ID: I20180822002577 |
|---|
| Provider Name | Destyni Walker |
|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1487264537
PECOS PAC ID: 5799103222
Enrollment ID: I20200916000679 |
|---|
| Provider Name | Kristina Frimmel |
|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
|---|
| Provider Identifiers | NPI Number: 1356826416
PECOS PAC ID: 6305247685
Enrollment ID: I20210623003890 |
|---|
| Provider Name | Lauren Salens |
|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
|---|
| Provider Identifiers | NPI Number: 1063040160
PECOS PAC ID: 7214339373
Enrollment ID: I20210712003012 |
|---|
| Provider Name | Sara Elizabeth Klatt |
|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
|---|
| Provider Identifiers | NPI Number: 1851867675
PECOS PAC ID: 3072916527
Enrollment ID: I20210722000165 |
|---|
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fundamental Therapies is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fundamental Therapies
1950 E Wattles Rd Ste 108,
Troy, MI 48085-5079
Ph: (248) 606-0551 | Fundamental Therapies
1950 E Wattles Rd Ste 108,
Troy, MI 48085-5079
Ph: (248) 882-2797 |
Reviews and Comments