Provider Demographics
NPI:1578989117
Name:THOMAS, TARA DAVI (DPT)
Entity type:Individual
Prefix:
First Name:TARA
Middle Name:DAVI
Last Name:THOMAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:DAVI
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:810 S MASON RD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-3895
Mailing Address - Country:US
Mailing Address - Phone:281-392-7811
Mailing Address - Fax:
Practice Address - Street 1:4600 FAIRMONT PKWY STE 205
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3337
Practice Address - Country:US
Practice Address - Phone:281-998-8600
Practice Address - Fax:281-998-8604
Is Sole Proprietor?:No
Enumeration Date:2014-03-06
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037464225100000X
TX1319848225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist