Fundamental Therapy Services, Llc in Clayton, GA - Medicare Occupational Therapist Provider

Fundamental Therapy Services, Llc is a medicare enrolled "Occupational Therapist" provider in Clayton, Georgia. Their current practice location is 165 Ridgecrest Cir, Clayton, Georgia. You can reach out to their office (for appointments etc.) via phone at (678) 357-5849.

Fundamental Therapy Services, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Fundamental Therapy Services, Llc 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 1780110155.

Contact Information

	Fundamental Therapy Services, Llc
	165 Ridgecrest Cir, Clayton, GA 30525-4110
	(678) 357-5849
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fundamental Therapy Services, Llc
Type	Facility
Speciality	Occupational Therapist
Location	165 Ridgecrest Cir, Clayton, Georgia
Accepts Medicare Assignments	Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780110155
Provider Enumeration Date: 05/04/2017
Last Update Date: 10/30/2023

Medicare PECOS Information:

PECOS PAC ID: 4789936113
Enrollment ID: O20181011002104

Medical Identifiers

Medical identifiers for Fundamental Therapy Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780110155	NPI	-	NPPES
003141022E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fundamental Therapy Services, Llc acts as a billing entity for following providers:

Provider Name	Jennifer Deslich
Provider Type	Practitioner - Occupational Therapist In Private Practice
Provider Identifiers	NPI Number: 1790107993 PECOS PAC ID: 2365794799 Enrollment ID: I20181013000059

Provider Name	Haley Arrendale White
Provider Type	Practitioner - Physical Therapist In Private Practice
Provider Identifiers	NPI Number: 1437508439 PECOS PAC ID: 8729452180 Enrollment ID: I20230327000293

Provider Name	Destiny Miller Mangan
Provider Type	Practitioner - Qualified Speech Language Pathologist
Provider Identifiers	NPI Number: 1245982289 PECOS PAC ID: 6103279476 Enrollment ID: I20240202001265

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 Therapy Services, Llc 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 Therapy Services, Llc 4649 E Wolf Creek Rd, Tiger, GA 30576-2946 Ph: (678) 357-5849	Fundamental Therapy Services, Llc 165 Ridgecrest Cir, Clayton, GA 30525-4110 Ph: (678) 357-5849

Reviews and Comments

Occupational Therapist in Clayton, GA

Ms. Ashley D. Miller, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Ridgecrest Cir Ste B, Clayton, GA 30525 Phone: 678-357-5849
Mrs. Jamie Lynn Nash, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Ridgecrest Cir, Clayton, GA 30525 Phone: 678-357-5849
Shannon Michelle Mattingly, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 790 N Main St, Suite 102, Clayton, GA 30525 Phone: 706-212-0661 Fax: 706-212-0662
Miss Sara Louise Brett, O.T.R Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 547 Warwoman Rd, Mvhc, Clayton, GA 30525 Phone: 706-782-4276 Fax: 706-782-0303
Jennifer Deslich, O.T. Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 165 Ridgecrest Cir Ste B, Clayton, GA 30525 Phone: 678-357-5849 Fax: 706-534-6750
Kayla Nicole Parker, MS, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 165 Ridgecrest Cir, Clayton, GA 30525 Phone: 706-782-6330 Fax: 706-532-6750

Fundamental Therapy Services, Llc - Medicare Occupational Therapist in Clayton, GA