Supreme Physical Therapy And Wellness Rehabilitation Center
Physical Therapist in Stratford, Connecticut
1376301614- Practice location
- 1825 Barnum Ave Ste 304, Stratford, CT 06614-5333
- Phone
- 475-328-0009
- Fax
- 203-212-8528
- Last updated
- March 11, 2024
Supreme Physical Therapy And Wellness Rehabilitation Center is a healthcare organization based in Stratford, CT. Supreme Physical Therapy And Wellness Rehabilitation Center practices in Stratford, CT. The NPI Number for Supreme Physical Therapy And Wellness Rehabilitation Center is 1376301614. The current practice location address for Supreme Physical Therapy And Wellness Rehabilitation Center is 1825 Barnum Ave Ste 304, Stratford, CT 06614-5333 and can be reached out via phone at 475-328-0009 and via fax at 203-212-8528.
Provider Profile Details
- NPI Number
- 1376301614
- Provider Name
- Supreme Physical Therapy And Wellness Rehabilitation Center
- Provider Entity Type
- Organization
- Address
- 1825 Barnum Ave Ste 304, Stratford, CT 06614-5333
- Phone Number
- 475-328-0009
- Fax Number
- 203-212-8528
- Primary Taxonomy
- Physical Therapist · 225100000X
- Organization Subpart
- No
- Authorized Official
- Dr. Ilicia Mathis, DPT · Co- Owner · 475-328-0009
- Provider Enumeration Date
- March 11, 2024
- Last Update Date
- March 11, 2024
- Certification Date
- March 11, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1825 Barnum Ave Ste 304
Stratford, CT 06614-5333 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-5333
- Phone Number
- 475-328-0009
- Fax Number
- 203-212-8528
Provider Business Mailing Address Details
- Address
- 14 Laydon Ave
North Haven, CT 06473-2704 - City
- North Haven
- State
- CT
- Zip
- 06473-2704
- Phone Number
- 203-584-3748
- Fax Number
- 203-212-8528
License Information
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Supreme Physical Therapy And Wellness Rehabilitation Center?
The NPI number of Supreme Physical Therapy And Wellness Rehabilitation Center is 1376301614. It was assigned on March 11, 2024 and is currently active in the NPPES registry.
What is the specialty of Supreme Physical Therapy And Wellness Rehabilitation Center?
Supreme Physical Therapy And Wellness Rehabilitation Center is registered under the primary taxonomy Physical Therapist (code 225100000X).
Where does Supreme Physical Therapy And Wellness Rehabilitation Center practice?
The practice location is 1825 Barnum Ave Ste 304, Stratford, CT 06614-5333. The office can be reached at 475-328-0009 (phone) or 203-212-8528 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1376301614 directly on the NPPES registry website.