| 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 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 | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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: 10 Apr 2025
Sources: Rhode Island Department of State
