Healthcare Provider Details

I. General information

NPI: 1003727744
Provider Name (Legal Business Name): REEMA KUMRAH DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 TOMPKINS ST STE 2
WATERBURY CT
06708-1458
US

IV. Provider business mailing address

144 BARN FINCH CIR
NAUGATUCK CT
06770-4881
US

V. Phone/Fax

Practice location:
  • Phone: 203-419-0381
  • Fax: 203-596-9882
Mailing address:
  • Phone: 203-419-0381
  • Fax: 203-596-9882

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number15518
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: