| 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 AudiologistsThis industry comprises establishments of independent health practitioners primarily engaged in one of the following: (1) providing physical therapy services to patients who have impairments, functional limitations, disabilities, or changes in physical functions and health status resulting from injury, disease or other causes, or who require prevention, wellness or fitness services; (2) planning and administering educational, recreational, and social activities designed to help patients or individuals with disabilities regain physical or mental functioning or adapt to their disabilities; and (3) diagnosing and treating speech, language, or hearing problems. 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 | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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: 09 Apr 2025
Sources: Rhode Island Department of State
