Healthcare Provider Details

I. General information

NPI: 1609750173
Provider Name (Legal Business Name): FOI PHYSICAL THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2025
Last Update Date: 12/03/2025
Certification Date: 12/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 W SUPERSTITION BLVD UNIT 4106
APACHE JUNCTION AZ
85178-6006
US

IV. Provider business mailing address

PO BOX 4106
APACHE JUNCTION AZ
85178-0003
US

V. Phone/Fax

Practice location:
  • Phone: 480-430-0721
  • Fax:
Mailing address:
  • Phone: 480-430-0721
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JAMEELAH WILSON
Title or Position: OWNER
Credential: FNP-C
Phone: 480-430-0721