Individual provider · Type 1 NPI

Tara Michelle Rustum, PT, DPT

Physical Therapist · Philadelphia, PA

NPI number 1376467795 Active

Practice location

4518 City Ave Fl 3
Philadelphia, PA 19131-1509

Mailing address

706 S Bancroft St
Philadelphia, PA 19146-2019

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist Primary 225100000XPT034525 (PA)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1376467795

Tara Michelle Rustum, PT, DPT's National Provider Identifier is 1376467795, issued on Aug 7, 2026. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 7, 2026.