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

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 NameFundamental Therapy Services, Llc
TypeFacility
SpecialityOccupational Therapist
Location165 Ridgecrest Cir, Clayton, Georgia
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1780110155NPI-NPPES
003141022EMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational 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 NameJennifer Deslich
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1790107993
PECOS PAC ID: 2365794799
Enrollment ID: I20181013000059
Provider NameHaley Arrendale White
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1437508439
PECOS PAC ID: 8729452180
Enrollment ID: I20230327000293
Provider NameDestiny Miller Mangan
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI 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 AddressPractice 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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.