Supreme Physical Therapy and Wellness Rehabilitation Center
NPI 1376301614 · Physical Therapist · Stratford, CT
Supreme Physical Therapy and Wellness Rehabilitation Center is a Physical Therapist organization in Stratford, CT (NPI 1376301614).
Provider details
- NPI number
- 1376301614
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Ilicia Mathis, Co- Owner(475) 328-0009
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 609 Waverly StHouston, TX 77007-4527Phone: (832) 781-0100Fax: (203) 212-8528
Registry dates
- Enumerated
- 2024-03-11
- Last updated
- 2024-03-11
- Certified
- 2024-03-11
Frequently asked questions
- What is Supreme Physical Therapy and Wellness Rehabilitation Center's NPI number?
- Supreme Physical Therapy and Wellness Rehabilitation Center's National Provider Identifier (NPI) is 1376301614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supreme Physical Therapy and Wellness Rehabilitation Center?
- Supreme Physical Therapy and Wellness Rehabilitation Center is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Supreme Physical Therapy and Wellness Rehabilitation Center located?
- Supreme Physical Therapy and Wellness Rehabilitation Center's practice location on file with NPPES is 1825 Barnum Ave Ste 304, Stratford, CT 06614-5333.
- What is Supreme Physical Therapy and Wellness Rehabilitation Center's phone number?
- The practice phone number listed in the NPPES registry for Supreme Physical Therapy and Wellness Rehabilitation Center is (475) 328-0009.
- Who is the authorized official for Supreme Physical Therapy and Wellness Rehabilitation Center?
- The authorized official listed on Supreme Physical Therapy and Wellness Rehabilitation Center's NPPES record is Ilicia Mathis, Co- Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supreme Physical Therapy and Wellness Rehabilitation Center's NPI active?
- Yes — Supreme Physical Therapy and Wellness Rehabilitation Center's NPI (1376301614) is active in the NPPES registry as of the last update on 2024-03-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.