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TARA MADDOX
NPI 1043774219
Specialist/Technologist - Athletic Trainer in Philadelphia, PA

Active since January 22, 2019
8201 HENRY AVE APT K1, PHILADELPHIA, PA 19128(215) 696-0888 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Maddox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA MADDOX (NPI 1043774219) is an individual athletic trainer provider in Philadelphia, Pennsylvania and active in the NPI registry since January 2019. She maintains a secondary practice location in Philadelpia.

NPPES Registry Identity

NPI1043774219
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameTARA MADDOX
Location Address8201 HENRY AVE APT K1Philadelphia, PA 19128-2220
Mailing Address119 Milbob DrWarminster, PA 18974-1668 · (215) 696-0888
Phone(215) 696-0888
Sole ProprietorYes
Enumeration DateJanuary 22, 2019
✔ NPI 1043774219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
8201 HENRY AVE APT K1, Philadelphia, PA 19128
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Secondary Practice Location 1

Location 1JEFFERSON UNIVERSITY, 4201 HENRY AVEPHILADELPIA, PA 19144 · Phone (270) 021-5951

Other Identifiers 2

OtherXOF823636392PA · Blue Cross Blue
OtherXOF823636392PA · Blue Cross Blue Shield

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tara Maddox's NPI number?

The NPI number for Tara Maddox is 1043774219. It was assigned to this individual provider in the NPPES registry on January 22, 2019.

Where is Tara Maddox located?

Tara Maddox practices at 8201 Henry Ave Apt K1, Philadelphia, PA 19128. The listed phone number is (215) 696-0888.

What is Tara Maddox's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Tara Maddox was last updated on January 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.