| Name: | SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 11 Jul 1995 (30 years ago) |
| Date of Dissolution: | 31 Dec 2021 (3 years ago) |
| Date of Status Change: | 31 Dec 2021 (3 years ago) |
| Identification Number: | 000085219 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | ONE HIGH STREET, WAKEFIELD, RI, 02879, USA |
| Purpose: | TO ENGAGE IN THE PRACTICE OF ORTHOPEDIC SURGERY AND PHYSICAL THERAPY. |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518921816 | 2006-04-13 | 2014-03-19 | 1 HIGH ST, WAKEFIELD, RI, 028793103, US | 1 HIGH ST, WAKEFIELD, RI, 028793103, US | |||||||||||||||||||||
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| Phone | +1 401-789-1422 |
| Fax | 4017826810 |
Authorized person
| Name | DR. ROBERT C MARCHAND |
| Role | OWNER |
| Phone | 4017891422 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 9002536 |
| State | RI |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY, INC.401(K) PROFIT SHARING PLAN | 2012 | 050485441 | 2013-10-11 | SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY INC | 55 | |||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2013-10-11 |
| Name of individual signing | DANIEL LABRADOR |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1992-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4017891422 |
| Plan sponsor’s address | ONE HIGH STREET, WAKEFIELD, RI, 02879 |
Plan administrator’s name and address
| Administrator’s EIN | 050485441 |
| Plan administrator’s name | SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY INC |
| Plan administrator’s address | ONE HIGH STREET, WAKEFIELD, RI, 02879 |
| Administrator’s telephone number | 4017891422 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-27 |
| Name of individual signing | PATRICIA MCGOWAN |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 1992-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 4017891422 |
| Plan sponsor’s address | ONE HIGH STREET, WAKEFIELD, RI, 02879 |
Plan administrator’s name and address
| Administrator’s EIN | 050485441 |
| Plan administrator’s name | SOUTH COUNTY ORTHOPEDICS & PHYSICAL THERAPY INC |
| Plan administrator’s address | ONE HIGH STREET, WAKEFIELD, RI, 02879 |
| Administrator’s telephone number | 4017891422 |
Signature of
| Role | Plan administrator |
| Date | 2011-04-14 |
| Name of individual signing | PATRICIA MCGOWAN |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| STEPHEN D. ZUBIAGO, ESQ. | Agent | NIXON PEABODY LLP ONE CITIZENS PLAZA SUITE 500, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| ROBERT C. MARCHAND, M.D. | PRESIDENT | ONE HIGH STREET WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202106881330 | Articles of Dissolution | 2021-12-06 |
| 202193817290 | Annual Report | 2021-03-09 |
| 202036030550 | Annual Report | 2020-03-09 |
| 201988606400 | Annual Report | 2019-03-13 |
| 201988332020 | Statement of Change of Registered/Resident Agent | 2019-03-08 |
| 201861166610 | Annual Report | 2018-03-29 |
| 201738192630 | Annual Report | 2017-03-17 |
| 201693541670 | Annual Report | 2016-03-01 |
| 201556140440 | Annual Report | 2015-03-02 |
| 201438393120 | Annual Report | 2014-04-23 |
Date of last update: 09 Apr 2025
Sources: Rhode Island Department of State
