Healthcare Provider Details

I. General information

NPI: 1114831203
Provider Name (Legal Business Name): DR. KAREEM F. SAMHOURI FITNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 PINON CT
SEDONA AZ
86336-6637
US

IV. Provider business mailing address

53 PINON CT
SEDONA AZ
86336-6637
US

V. Phone/Fax

Practice location:
  • Phone: 215-891-9500
  • Fax:
Mailing address:
  • Phone: 215-891-9500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KAREEM FAROUQ SAMHOURI
Title or Position: OWNER
Credential: DPT
Phone: 215-891-9500