Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fundamental Kids Therapy LLC

Organization Occupational Therapist · NPI 1922443522

Fundamental Kids Therapy LLC is an Occupational Therapist in Shoreview, Minnesota. Works from 2 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2013
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5985 Rice Creek Pkwy Ste 205
Shoreview, MN 55126-5037
Phone: (612) 888-4757
Fax: (612) 808-0005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12732 Lake Blvd, Lindstrom, MN 55045-9342 — (612) 888-4757

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 8614 (MN)
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1922443522
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julie Johnson — Owner · (952) 297-2460
NPI enumeratedMay 8, 2013
Last updated in NPPESOctober 17, 2021
Certification dateOctober 17, 2021
Mailing address5985 Rice Creek Pkwy Ste 205, Shoreview, MN 55126-5037

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