Fundamental Therapies is a
Clinic/center - Multi-specialty based in Troy, Michigan. Fundamental Therapies is licensed to practice in * (Not Available) (license number ) and their current practice location is
1950 E Wattles Rd Ste 108, Troy, Michigan. It can be reached at their office (for appointments etc.) via phone at
(248) 882-2797.
NPI number for Fundamental Therapies is 1710553722 and their current mailing address is 1950 E Wattles Rd Ste 108, Troy, Michigan. Fundamental Therapies
does not participate in medicare program and thus does not accept medicare assignments. 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 | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710553722
- Provider Enumeration Date: 06/01/2021
- Last Update Date: 09/08/2021
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 |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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
NOT enrolled with medicare and thus cannot 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 |
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