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

Tara Maddox

Individual provider Athletic Trainer · NPI 1043774219

Tara Maddox is an Athletic Trainer in Philadelphia, Pennsylvania. Practices as a sole proprietor and works from 2 locations. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

8201 Henry Ave Apt K1
Philadelphia, PA 19128-2220
Phone: (215) 696-0888
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Jefferson University, Philadelpia, PA 19144 — (270) 021-5951

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1043774219
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 22, 2019
Last updated in NPPESJanuary 22, 2019

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