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NPI Code Detail

MEDICARE: DR. TASHA RENEE FORD PT, DPT

MEDICARE:  DR. TASHA RENEE FORD  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1262651TX
22251P0200XPediatric Physical Therapist1262651TX

General Provider Information

NPI Number : 1184090110
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TASHA RENEE FORD PT, DPT
Provider Business Mailing Address
First Line : 9771 RAMBLING TRL
Second Line :
City : HOUSTON
State : TX
Zip : 77089-1221
Country : US
Telephone Number : 979-415-4476
Fax Number :
Provider Business Practice Location Address
First Line : 3333 BAYSHORE BLVD STE 340
Second Line :
City : PASADENA
State : TX
Zip : 77504-1960
Country : US
Telephone Number : 713-910-5437
Fax Number : 713-910-5445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2015
Last Update Date : 02/09/2026

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