FUNDAMENTAL KIDS THERAPY LLC
FUNDAMENTAL KIDS THERAPY LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1922443522, based in Shoreview, MN. The organization lists 2 taxonomy classifications, with Speech-Language Pathologist recorded as primary.
Getting there
The practice address on file is 5985 RICE CREEK PKWY STE 205, Shoreview, MN 55126. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 8614 | MN | Speech-Language Pathologist primary |
This provider holds licence 8614 issued in MN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 7810278835
- Enrollment ID
- O20170106000939
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Speech-Language Pathologist covers
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. NUCC Health Care Provider Taxonomy, code 235Z00000X
All registered taxonomy codes
This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist | 8614 | MN | primary |
| 225X00000X | Occupational Therapist | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1922443522 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 8, 2013 |
| Last updated | Oct 17, 2021 |
| Status | Active |
| Practice address |
5985 RICE CREEK PKWY STE 205 Shoreview, MN 55126 (612) 888-4757 Fax (612) 808-0005 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 2 | 2 | 4 | 4 | 3 | 5 | 2 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 4 | 2 | 8 | 4 | 6 | 5 | 4 |
Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.