Fundamentals Therapy Clinic

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

FUNDAMENTALS THERAPY CLINIC

Practice address

1402 Brookview Dr
Ardmore, OK 73401-1219

Phone

(580) 850-1160

NPI assigned

Apr 1, 2025

Last updated

Apr 10, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kari Childers, BCBANPI 1558978726

Title

Owner

Phone

(580) 220-9703

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kari Dawn Childers, BCBA

  • Behavior Analyst
  • Ardmore, OK
  • NPI 1558978726
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1871397976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 BROOKVIEW DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 BROOKVIEW DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011219",
            "telephone_number": "580-850-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNDAMENTALS THERAPY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "CHILDERS",
        "authorized_official_first_name": "KARI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-220-9703",
        "authorized_official_credential": "BCBA"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Fuentes
• Gwen Canarias Fuentes, M.D.
• Jo L Fuller, APRN-CNP
• Stephanie Celeste Fulmer
• Functionality Therapy Services PLLC
• Stephanie Kay Furrh
• Tony Simon Germans Gabriel, M.D
• Bryce Gaddy
• Sierra Lorene Gaines
• Ryan Joe Gaither

• Speech-Language Pathologist in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.