Provider Demographics
NPI:1154915536
Name:COX, TARA (PT, DPT, OCS)
Entity type:Individual
Prefix:DR
First Name:TARA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 MONTGOMERY AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BALA CYNWYD
Mailing Address - State:PA
Mailing Address - Zip Code:19004-2970
Mailing Address - Country:US
Mailing Address - Phone:215-692-0792
Mailing Address - Fax:
Practice Address - Street 1:107 ROWAN BLVD
Practice Address - Street 2:
Practice Address - City:GLASSBORO
Practice Address - State:NJ
Practice Address - Zip Code:08028-2203
Practice Address - Country:US
Practice Address - Phone:856-347-0333
Practice Address - Fax:856-230-7164
Is Sole Proprietor?:No
Enumeration Date:2021-02-25
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT029280225100000X, 2251S0007X, 2251X0800X
225100000X
NJ40QA019988002251S0007X, 2251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic