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  5. Olympic Physical Therapy & Sports Medicine, Inc.

Olympic Physical Therapy & Sports Medicine, Inc.

Company Details

Name: Olympic Physical Therapy & Sports Medicine, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Activ
Date of Organization in Rhode Island: 22 May 2000 (25 years ago)
Identification Number: 000112623
ZIP code: 02842
County: Newport County
Principal Address: 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 02842, USA
Purpose: PROFESSIONAL SERVICES BY PHYSICAL THERAPISTS

Industry & Business Activity

NAICS

621340 Offices of Physical, Occupational and Speech Therapists, and Audiologists

This 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

Companies doing Offices of physical, occupational and speech therapists, and audiologists

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912099938 2006-09-28 2008-10-07 OLYMPIC PHYSICAL THERAPY, 1181 AQUIDNECK AVE, MIDDLETOWN, RI, 02842, US OLYMPIC PHYSICAL THERAPY, 1181 AQUIDNECK AVE, MIDDLETOWN, RI, 02842, US

Contacts
Phone +1 401-845-0840
Fax 4018450842

Authorized person
Name KIRSTIN COLLINS
Role MEDICAL BILLING
Phone 4018450840

Taxonomy
Taxonomy Code 225100000X - Physical Therapist
License Number PT02061
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2023 050511546 2024-10-29 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2022 050511546 2024-10-29 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2021 050511546 2022-07-05 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2020 050511546 2021-10-04 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2019 050511546 2020-05-28 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2018 050511546 2019-04-15 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2017 050511546 2018-02-17 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2016 050511546 2017-07-20 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2015 050511546 2016-05-09 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283

Plan administrator’s name and address
Administrator’s EIN 050511546
Plan administrator’s name OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Plan administrator’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
Administrator’s telephone number 4018450840
OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 401(K) RETIREMENT PLAN 2014 050511546 2015-06-17 OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283

Plan administrator’s name and address
Administrator’s EIN 050511546
Plan administrator’s name OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Plan administrator’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
Administrator’s telephone number 4018450840

Signature of
Role Plan administrator
Date 2015-06-17
Name of individual signing DONALD H. LEVINE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/08/14/20140814102739P030033201133001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283

Plan administrator’s name and address
Administrator’s EIN 050511546
Plan administrator’s name OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Plan administrator’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
Administrator’s telephone number 4018450840

Signature of
Role Plan administrator
Date 2014-08-14
Name of individual signing DONALD H. LEVINE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/04/08/20130408075315P040009203424001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283

Plan administrator’s name and address
Administrator’s EIN 050511546
Plan administrator’s name OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Plan administrator’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283

Signature of
Role Plan administrator
Date 2013-04-08
Name of individual signing DONALD H LEVINE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/04/18/20120418144012P040320471664001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283

Plan administrator’s name and address
Administrator’s EIN 050511546
Plan administrator’s name OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Plan administrator’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
Administrator’s telephone number 4018450840

Signature of
Role Plan administrator
Date 2012-04-18
Name of individual signing DONALD H. LEVINE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/02/21/20110221081522P040013959697001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283

Plan administrator’s name and address
Administrator’s EIN 050511546
Plan administrator’s name OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Plan administrator’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
Administrator’s telephone number 4018450840

Signature of
Role Plan administrator
Date 2011-02-21
Name of individual signing DONALD H. LEVINE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/04/29/20100429093958P040228713841001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621340
Sponsor’s telephone number 4018450840
Plan sponsor’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283

Plan administrator’s name and address
Administrator’s EIN 050511546
Plan administrator’s name OLYMPIC PHYSICAL THERAPY & SPORTS MEDICINE, INC.
Plan administrator’s address 1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 028425283
Administrator’s telephone number 4018450840

Signature of
Role Plan administrator
Date 2010-04-29
Name of individual signing DONALD H. LEVINE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-04-29
Name of individual signing DONALD H. LEVINE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MICHAEL RICHARDS, ESQ. Agent 36 WASHINGTON SQUARE, NEWPORT, RI, 02840, USA

PRESIDENT

Name Role Address
DONALD H LEVINE PRESIDENT 18 HIGH HAWK ROAD PORTSMOUTH, RI 02871- USA

VICE PRESIDENT

Name Role Address
RAYMOND B REID VICE PRESIDENT 1181 AQUIDNECK AVE MIDDLETOWN, RI 02842-5255 USA

Filings

Number Name File Date
202454958180 Annual Report 2024-05-29
202340144950 Statement of Change of Registered/Resident Agent 2023-08-04
202332202480 Annual Report 2023-03-31
202211238360 Annual Report 2022-02-17
202187729330 Annual Report 2021-01-25
202033278450 Annual Report 2020-01-27
201985441040 Annual Report 2019-01-28
201856614380 Annual Report 2018-01-22
201735182030 Annual Report 2017-02-27
201690701130 Annual Report 2016-01-14

Related by officers

No related officers

Related by address

1181 AQUIDNECK AVENUE, MIDDLETOWN, RI, 02842, USA

TRINITY-PT PARTNERS LLC

Date of last update: 10 Apr 2025

Sources: Rhode Island Department of State

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