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

Justine Breanne Wilson, DPT

Individual provider Physical Therapist · NPI 1871130583

Justine Breanne Wilson, DPT is a Physical Therapist in Phoenix, Arizona. Licensed in Washington. Registered with an NPI since 2019.

Licensed in
WA
In the registry since
2019
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

11811 N Tatum Blvd Ste 3031
Phoenix, AZ 85028-1621
Phone: (602) 708-8091
Fax: (602) 218-6462
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT60957709 (WA)

Record details

NPI number1871130583
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedDecember 2, 2019
Last updated in NPPESAugust 2, 2023
Certification dateJuly 26, 2023

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