Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Reverse Time Wellness Inc

Organization Emergency Medical Services (Emergency Medicine) Physician · NPI 1003611187

Reverse Time Wellness Inc is an Emergency Medical Services (Emergency Medicine) Physician in Stamford, Connecticut. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1086 Long Ridge Rd
Stamford, CT 06903-4404
Phone: (203) 274-7426
Fax: (203) 274-7426
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X

Record details

NPI number1003611187
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neishelle Walcott — President · (203) 274-7426
NPI enumeratedFebruary 13, 2025
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address1086 Long Ridge Rd, Stamford, CT 06903-4404

Other providers in Stamford