Healthcare Provider Details

I. General information

NPI: 1235074014
Provider Name (Legal Business Name): JAMES MICHAEL FOULKES LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 CAMELBACK LN APT 12
SILVER SPRING MD
20906-5797
US

IV. Provider business mailing address

2607 CAMELBACK LN APT 12
SILVER SPRING MD
20906-5797
US

V. Phone/Fax

Practice location:
  • Phone: 202-368-9686
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License NumberMT1290
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: