FUNDAMENTAL THERAPY LLC
NPI 1659796860
Specialist in Picayune, MS
NPI Status: Active since February 25, 2014
Contact Information
311 N MAIN ST
PICAYUNE, MS
ZIP 39466
Phone: (601) 799-4065
Fax: (601) 620-4117
- Organization
- Specialist
About FUNDAMENTAL THERAPY LLC
This page provides the complete NPI Profile along with additional information for Fundamental Therapy Llc, a provider established in Picayune, Mississippi operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1659796860 assigned on February 2014. The practitioner's primary taxonomy code is 174400000X with license number OT2316 (MS). The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Sara Carr Braddy Motr/l (Occupational Therapist)
- NPI
- 1659796860
- Provider Name
- FUNDAMENTAL THERAPY LLC
- Entity Type
- Organization
- Location Address
- 311 N MAIN ST PICAYUNE, MS 39466
- Location Phone
- (601) 799-4065
- Location Fax
- (601) 620-4117
- Mailing Address
- 20 NEWT MITCHELL RD PICAYUNE, MS 39466
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-25-2014
- Last Update Date
- 01-10-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- OT2316
- License State
- MS
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 05587048 | MEDICAID (05) | MS |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 5 | 9 | 7 | 9 | 6 | 8 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 10 | 9 | 14 | 9 | 12 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 0 + 9 + 1 + 4 + 9 + 1 + 2 + 8 + 1 + 2 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1659796860 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417245648 | MRS. STACEY S VOLLENWEIDER OTR/L Individual | Occupational Therapist | 311 N MAIN ST PICAYUNE, MS 39466 (601) 799-4065 |
| 1417235490 | FUNCTIONAL THERAPY LLC Organization | Occupational Therapist | 311 N MAIN ST PICAYUNE, MS 39466 (601) 799-4065 |
| 1710312442 | MRS. SARA C BRADDY MOTR/L Individual | Occupational Therapist | 311 N MAIN ST PICAYUNE, MS 39466 (601) 799-4065 |
| 1043769458 | MRS. KARLY MITCHELL SLADE COTA/L Individual | Occupational Therapy Assistant | 311 N MAIN ST PICAYUNE, MS 39466 (601) 799-4065 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659796860, enumerated in the NPI registry as an "organization" on February 25, 2014
The provider is located at 311 N Main St Picayune, Ms 39466 and the phone number is (601) 799-4065
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on February 25, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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