Reverse Time Wellness Inc
NPI 1003611187ActiveOrganization· Family Medicine· Stamford, CT
Family Medicine in Stamford, Connecticut, registered in NPPES in February 2025. The authorized official on file is Neishelle Walcott, PA, President.
Overview
| NPI | 1003611187 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 13, 2025 |
| Last updated in NPPES | Apr 8, 2025 |
| Certified by provider | Apr 8, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Emergency Medicine, Emergency Medical Services | 207PE0004X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Family Medicine providers in Stamford
- 1376739730
- 1780791822
- 1942492293
- 1588609473
- 1801067228
- 1871803650
- 1316369895
- 1083198196
- 1023102092
- 1417029877
- 1689766552
- 1467154476