Healthcare Provider Details

I. General information

NPI: 1326158262
Provider Name (Legal Business Name): TARA MCHUGH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

578 OCOEE COMMERCE PKWY
OCOEE FL
34761-4219
US

IV. Provider business mailing address

801 HIGHLAND DR
ALTAMONTE SPRINGS FL
32701-5711
US

V. Phone/Fax

Practice location:
  • Phone: 407-656-3061
  • Fax: 407-656-3063
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT16025
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: