Search icon

Rhode Island Rehabilitation Institute, Inc.

Company Details

Name: Rhode Island Rehabilitation Institute, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 20 Feb 1987 (38 years ago)
Identification Number: 000041926
ZIP code: 02874
County: Washington County
Principal Address: 30 WILBUR HAZARD ROAD, SAUNDERSTOWN, RI, 02874, USA
Purpose: TO PROVIDE PHYSICAL THERAPY AND OTHER MEDICAL REHABILITATION SERVICES
NAICS: 621340 - Offices of Physical, Occupational and Speech Therapists, and Audiologists
Fictitious names: THERAPY and WELLNESS (trading name, 2009-01-08 - )
RI THERAPY and WELLNESS (trading name, 2009-01-08 - )
RI THERAPY & WELLNESS for WOMEN (trading name, 2008-07-16 - )
Historical names: Rhode Island Rehabilitation Institute, Ltd.

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1306896311 2006-05-11 2015-03-09 721 RESERVOIR AVE, CRANSTON, RI, 029104430, US 721 RESERVOIR AVE, CRANSTON, RI, 029104430, US

Contacts

Phone +1 401-946-4250
Fax 4019423960

Authorized person

Name MR. HENRY SISUN
Role PRESIDENT/CEO
Phone 4019464250

Taxonomy

Taxonomy Code 133V00000X - Registered Dietitian
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 225X00000X - Occupational Therapist
Is Primary No

Other Provider Identifiers

Issuer OWNER /OP NATIONAL PIN #
Number 1235110073
Issuer HARVARD PILGRIM HC GROUP
Number HPAA46233
State RI
Issuer RAILROAD MEDICARE GROUP
Number CA-6711
State RI
Issuer BCBSRI GROUP #
Number 7536-1
State RI
Issuer NEIGHBORHOOD HEALTH PLAN
Number 19016
State RI
Issuer AETNA
Number 484225
State RI
Issuer UHC
Number 64-00132
State RI

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2022 050427978 2023-07-28 RHODE ISLAND REHABILITATION INSTITUTE, INC. 1
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 02910

Signature of

Role Plan administrator
Date 2023-07-28
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2022 050427978 2023-07-28 RHODE ISLAND REHABILITATION INSTITUTE, INC. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 02910

Signature of

Role Plan administrator
Date 2023-07-28
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2021 050427978 2022-09-08 RHODE ISLAND REHABILITATION INSTITUTE, INC. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 02910

Signature of

Role Plan administrator
Date 2022-09-08
Name of individual signing HENRY SISUN
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2020 050427978 2021-10-12 RHODE ISLAND REHABILITATION INSTITUTE, INC. 86
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 02910

Signature of

Role Plan administrator
Date 2021-10-12
Name of individual signing HENRY SISUN
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2020 050427978 2022-09-08 RHODE ISLAND REHABILITATION INSTITUTE, INC. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 02910

Signature of

Role Plan administrator
Date 2022-09-08
Name of individual signing HENRY SISUN
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2019 050427978 2022-09-08 RHODE ISLAND REHABILITATION INSTITUTE, INC. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 02910

Signature of

Role Plan administrator
Date 2022-09-08
Name of individual signing HENRY SISUN
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2019 050427978 2020-10-15 RHODE ISLAND REHABILITATION INSTITUTE, INC. 79
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 02910

Signature of

Role Plan administrator
Date 2020-10-15
Name of individual signing HENRY SISUN
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2018 050427978 2019-10-15 RHODE ISLAND REHABILITATION INSTITUTE, INC. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 02910

Signature of

Role Plan administrator
Date 2019-10-15
Name of individual signing HENRY SISUN
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2017 050427978 2018-09-18 RHODE ISLAND REHABILITATION INSTITUTE, INC. 79
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 029104430

Signature of

Role Plan administrator
Date 2018-09-18
Name of individual signing PAUL TU
Valid signature Filed with authorized/valid electronic signature
RHODE ISLAND REHABILITATION INSTITUTE, P.C. 401(K) PLAN 2016 050427978 2017-06-29 RHODE ISLAND REHABILITATION INSTITUTE, INC. 89
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 029104430

Signature of

Role Plan administrator
Date 2017-06-29
Name of individual signing HENRY SISUN
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/25/20160725120013P030054030145001.pdf
Three-digit plan number (PN) 001
Effective date of plan 1992-01-01
Business code 621320
Sponsor’s telephone number 4019464250
Plan sponsor’s address 721 RESERVOIR AVENUE, CRANSTON, RI, 029104430

Signature of

Role Plan administrator
Date 2016-07-25
Name of individual signing HENRY SISUN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
DANIEL S. KAPLAN, ESQ. Agent 2377 PAWTUCKET AVENUE, EAST PROVIDENCE, RI, 02914, USA

PRESIDENT

Name Role Address
HENRY SISSON PRESIDENT 721 RESERVOIR AVENUE CRANSTON, RI 02910 USA

TREASURER

Name Role Address
HENRY SISUN TREASURER 30 WILBUR HAZARD ROAD SAUNDERSTOWN, RI 02874 USA

Events

Type Date Old Value New Value
Name Change 1988-03-16 Rhode Island Rehabilitation Institute, Ltd. Rhode Island Rehabilitation Institute, Inc.

Filings

Number Name File Date
202458444760 Annual Report 2024-07-30
202457115850 Revocation Notice For Failure to File An Annual Report 2024-06-25
202331267390 Annual Report 2023-03-15
202218625640 Annual Report 2022-06-17
202105016580 Annual Report 2021-11-12
202105016490 Reinstatement 2021-11-12
202199629130 Revocation Certificate For Failure to File the Annual Report for the Year 2021-07-29
202196744070 Revocation Notice For Failure to File An Annual Report 2021-05-19
202036469350 Annual Report 2020-03-17
201985852080 Annual Report 2019-02-01

Date of last update: 06 Oct 2024

Sources: Rhode Island Department of State