| Name: | SAKONNET PHYSICAL THERAPY, INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Jun 2001 (24 years ago) |
| Identification Number: | 000119177 |
| ZIP code: | 02878 |
| County: | Newport County |
| Principal Address: | 1220 FISH ROAD SUITE 1, TIVERTON, RI, 02878, USA |
| Purpose: | PHYSICAL THERAPY |
| NAICS: | 621340 - Offices of Physical, Occupational and Speech Therapists, and Audiologists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457477945 | 2007-03-22 | 2015-04-29 | 31 SHOVE STREET, TIVERTON, RI, 028781029, US | 31 SHOVE STREET, TIVERTON, RI, 028781029, US | |||||||||||||||||||||||||||
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| Phone | +1 401-624-4743 |
| Fax | 4016249152 |
Authorized person
| Name | MRS. JESSICA BROOKE CHAVES |
| Role | PHYSICAL THERAPIST PRESIDENT |
| Phone | 4016244743 |
Taxonomy
| Taxonomy Code | 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician |
| License Number | PT01579 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CHIP |
| Number | 407329 |
| Issuer | BCBS |
| Number | 233358 |
| Name | Role | Address |
|---|---|---|
| JESSICA B. CHAVES | Agent | 1220 FISH ROAD SUITE 1, TIVERTON, RI, 02878, USA |
| Name | Role | Address |
|---|---|---|
| JESSICA BROOKE CHAVES | PRESIDENT | 1220 FISH ROAD SUITE 1 TIVERTON, RI 02878 USA |
| Number | Name | File Date |
|---|---|---|
| 202454894460 | Annual Report | 2024-05-27 |
| 202332081580 | Annual Report | 2023-03-31 |
| 202218045420 | Annual Report | 2022-05-31 |
| 202215568300 | Statement of Change of Registered/Resident Agent Office | 2022-04-24 |
| 202213536040 | Revocation Notice For Failure to Maintain a Registered Office | 2022-03-28 |
| 202213295550 | Registered Office Not Maintained | 2022-02-15 |
| 202195073720 | Annual Report | 2021-03-29 |
| 202037046550 | Annual Report | 2020-03-31 |
| 201989507940 | Annual Report | 2019-03-29 |
| 201859874240 | Annual Report | 2018-03-08 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
