| Name: | Audrey Galli Physical Therapy, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 10 Mar 1999 (26 years ago) |
| Date of Dissolution: | 03 Dec 2018 (6 years ago) |
| Date of Status Change: | 03 Dec 2018 (6 years ago) |
| Identification Number: | 000105282 |
| ZIP code: | 02920 |
| County: | Providence County |
| Principal Address: | 1500 OAKLAWN AVENUE, CRANSTON, RI, 02920, USA |
| Purpose: | TO OWN AND OPERATE AN OUTPATIENT FACILITY PROVIDING PHYSICAL THERAPY SERVICES TO CLIENTS INCLUDING BUT NOT LIMITED TO ALL TYPES OF REHABILITATIVE SERVICES. |
| NAICS: | 621340 - Offices of Physical, Occupational and Speech Therapists, and Audiologists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184787558 | 2006-12-18 | 2020-08-22 | 1500 OAKLAWN AVE, CRANSTON, RI, 029202639, US | 1500 OAKLAWN AVE, CRANSTON, RI, 029202639, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-463-0113 |
Authorized person
| Name | JANE BEATTIE |
| Role | OFFICE MANAGER |
| Phone | 4014630113 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT00887 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | GROUP NUMBER BLUE CHIP |
| Number | CPG0005218001 |
| State | RI |
| Issuer | AETNA INSURANCE |
| Number | 0003647264 |
| State | RI |
| Issuer | UNITED HEALTHCARE GROUP |
| Number | 6400294 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| AUDREY GALLI | Agent | 1500 OAKLAWN AVENUE, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| AUDREY GALLI | PRESIDENT | 189 SEABREEZE DRIVE NORTH KINGSTOWN, RI 02852 USA |
| Number | Name | File Date |
|---|---|---|
| 201882114010 | Articles of Dissolution | 2018-12-03 |
| 201877831960 | Annual Report | 2018-09-20 |
| 201875476550 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
| 201733927930 | Annual Report | 2017-02-13 |
| 201691666320 | Annual Report | 2016-02-03 |
| 201552845420 | Annual Report | 2015-01-07 |
| 201436206260 | Annual Report | 2014-02-26 |
| 201206706860 | Annual Report | 2012-12-31 |
| 201287810210 | Annual Report | 2012-01-11 |
| 201072830290 | Annual Report | 2010-12-23 |
Date of last update: 08 Oct 2024
Sources: Rhode Island Department of State
