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Fundamental Therapy Services, LLC

Occupational Therapist in Clayton, GA · enumerated 2017 · authorized official Jennifer Deslich, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780110155

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Registry record

Entity type Organization (Type 2)
Legal business name Fundamental Therapy Services, LLC
Practice address 165 Ridgecrest Cir, Clayton, GA, 30525
Phone (678) 357-5849
Enumeration date May 4, 2017
Last updated in NPPES Oct 30, 2023

Taxonomy & classification

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

Authorized official

Name Jennifer Deslich
Title Owner
Phone (678) 357-5849

Other identifiers

Identifier Type State Issuer
003141022E Medicaid GA -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-10-30. Verify at npiregistry.cms.hhs.gov.
Where is Fundamental Therapy Services, LLC located?
The practice location on file with NPPES is in Clayton, GA.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-30.