Tara Michelle Rustum, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT034525 Issued in PA

Practice address

4518 City Ave FL 3
Philadelphia, PA 19131-1509

Phone

(267) 279-7846

NPI assigned

Aug 7, 2026

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1786060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1376467795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 S BANCROFT ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191462019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4518 CITY AVE FL 3",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191311509",
            "telephone_number": "267-279-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTUM",
        "first_name": "TARA",
        "middle_name": "MICHELLE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-07",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT034525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Russo, RPH
• Stefani Ann Russo, M.D.
• Jody Moser Russon, LMFT
• Donna Rust, CRNP
• Mary Antoinette Rust, DDS
• Logan Davis Rutch, DMD, MMS
• Julia Rutenberg, M.D.
• Ruth Eller'S Home Care LLC
• Corey Kades Ruth, M.D.
• Linda Ruthen, LSW

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.