Fundamental Therapy LLC

Fundamental Therapy LLC is a healthcare organization registered as Specialist in Picayune, MS, holding Type 2 (organization) NPI 1659796860 since 2014. The authorized official on file is Sara Braddy, Occupational Therapist.

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NPI	1659796860
Entity type	Organization (Type 2)
Legal business name	Fundamental Therapy LLC
Practice address	311 N MAIN ST, Picayune, MS, 39466
Phone	6017994065
Fax	6016204117
Enumeration date	2014-02-25
Last updated in NPPES	2015-01-10

Authorized official

Name	Sara Braddy
Title	Occupational Therapist
Phone	6019168329

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
174400000X	Specialist	Primary	OT2316	MS

Other identifiers

Identifier	Type	State	Issuer
05587048	Medicaid	MS	—

Copy-ready billing details

Provider: Fundamental Therapy LLC
NPI: 1659796860
Taxonomy: 174400000X (Specialist)
Address: 311 N MAIN ST, Picayune, MS, 39466

Providers at this address

NPI	Name	Type	Specialty	Location
1417245648	Stacey Vollenweider	Individual	Occupational Therapist	Picayune, MS
1417235490	Functional Therapy LLC	Organization	Occupational Therapist	Picayune, MS
1710312442	Sara Braddy	Individual	Occupational Therapist	Picayune, MS
1043769458	Karly Slade	Individual	Occupational Therapy Assistant	Picayune, MS

Verify this record

Cross-check NPI 1659796860 against the authoritative CMS record: view Fundamental Therapy LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Fundamental Therapy LLC located?

The practice location on file with NPPES is in Picayune, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-01-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-01-10.