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

Fundamental Therapy LLC

Organization Specialist · NPI 1659796860

Fundamental Therapy LLC is a Specialist in Picayune, Mississippi. Licensed in Mississippi. Registered with an NPI since 2014.

Licensed in
MS
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

311 N Main St
Picayune, MS 39466-3313
Phone: (601) 799-4065
Fax: (601) 620-4117
Show map & directions

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

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence OT2316 (MS)

Record details

NPI number1659796860
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sara Braddy — Occupational Therapist · (601) 916-8329
NPI enumeratedFebruary 25, 2014
Last updated in NPPESJanuary 10, 2015
Mailing address20 Newt Mitchell Rd, Picayune, MS 39466-9224

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