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Elite Physical Therapy, Inc

Headquarter

Company Details

Name: Elite Physical Therapy, Inc
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Conversion
Date of Organization in Rhode Island: 09 May 2002 (23 years ago)
Date of Dissolution: 24 Sep 2021 (3 years ago)
Date of Status Change: 24 Sep 2021 (3 years ago)
Identification Number: 000124669
ZIP code: 02886
County: Kent County
Principal Address: 535 CENTERVILLE RD., WARWICK, RI, 02886, USA
Purpose: OPERATING A PHYSICAL THERAPY CLINIC
NAICS: 621340 - Offices of Physical, Occupational and Speech Therapists, and Audiologists
Fictitious names: Elite Physical Therapy and Wellness (trading name, 2017-03-08 - )

Links between entities

Type Company Name Company Number State
Headquarter of Elite Physical Therapy, Inc, CONNECTICUT 1251934 CONNECTICUT

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881093557 2014-08-19 2014-08-19 535 CENTERVILLE RD, SUITE 101, WARWICK, RI, 028864486, US 535 CENTERVILLE RD, SUITE 101, WARWICK, RI, 028864486, US

Contacts

Phone +1 401-737-6011
Fax 4017374811

Authorized person

Name MICHELLE DURETTE
Role INCOME MANAGER
Phone 4017376011

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
License Number 02710
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ELITE PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN 2016 010686228 2017-12-21 ELITE PHYSICAL THERAPY, INC. 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-10
Business code 621340
Sponsor’s telephone number 4017374581
Plan sponsor’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886
ELITE PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN 2015 010686228 2016-09-23 ELITE PHYSICAL THERAPY, INC. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-10
Business code 621340
Sponsor’s telephone number 4017374581
Plan sponsor’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886
ELITE PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN 2014 010686228 2015-10-14 ELITE PHYSICAL THERAPY, INC. 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-10
Business code 621340
Sponsor’s telephone number 4017374581
Plan sponsor’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886
ELITE PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN 2013 010686228 2014-10-15 ELITE PHYSICAL THERAPY, INC. 71
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-10
Business code 621340
Sponsor’s telephone number 4017374581
Plan sponsor’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886
ELITE PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN 2012 010686228 2013-08-02 ELITE PHYSICAL THERAPY, INC. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-10
Business code 621340
Sponsor’s telephone number 4017374581
Plan sponsor’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2013-08-02
Name of individual signing MICHAEL NULA
Valid signature Filed with authorized/valid electronic signature
ELITE PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN 2011 010686228 2012-06-28 ELITE PHYSICAL THERAPY, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-10
Business code 621340
Sponsor’s telephone number 4017374581
Plan sponsor’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886

Plan administrator’s name and address

Administrator’s EIN 010686228
Plan administrator’s name ELITE PHYSICAL THERAPY, INC.
Plan administrator’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886
Administrator’s telephone number 4017374581

Signature of

Role Plan administrator
Date 2012-06-28
Name of individual signing MICHAEL NULA
Valid signature Filed with authorized/valid electronic signature
ELITE PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN 2010 010686228 2011-07-18 ELITE PHYSICAL THERAPY, INC. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-10
Business code 621340
Sponsor’s telephone number 4017374581
Plan sponsor’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886

Plan administrator’s name and address

Administrator’s EIN 010686228
Plan administrator’s name ELITE PHYSICAL THERAPY, INC.
Plan administrator’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886
Administrator’s telephone number 4017374581

Signature of

Role Plan administrator
Date 2011-07-18
Name of individual signing MICHAEL NULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-18
Name of individual signing MICHAEL NULA
Valid signature Filed with authorized/valid electronic signature
ELITE PHYSICAL THERAPY, INC. 401(K) PROFIT SHARING PLAN 2009 010686228 2010-08-12 ELITE PHYSICAL THERAPY, INC. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-02-10
Business code 621340
Sponsor’s telephone number 4017374581
Plan sponsor’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886

Plan administrator’s name and address

Administrator’s EIN 010686228
Plan administrator’s name ELITE PHYSICAL THERAPY, INC.
Plan administrator’s address 535 CENTERVILLE ROAD, SUITE 101, WARWICK, RI, 02886
Administrator’s telephone number 4017374581

Signature of

Role Plan administrator
Date 2010-08-12
Name of individual signing MICHAEL NULA
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-08-12
Name of individual signing MICHAEL NULA
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
MICHAEL A. NULA Agent 535 CENTERVILLE ROAD, WARWICK, RI, 02886, USA

PRESIDENT

Name Role Address
MICHAEL NULA PRESIDENT 535 CENTERVILLE ROAD WARWICK, RI 02886- USA

VICE PRESIDENT

Name Role Address
JASON HARVEY VICE PRESIDENT 535 CENTERVILLE ROAD WARWICK, RI 02886 USA

Events

Type Date Old Value New Value
Conversion 2021-09-24 Elite Physical Therapy, Inc Elite Physical Therapy, LLC on 09-24-2021

Filings

Number Name File Date
202190101130 Annual Report 2021-02-05
202035496780 Annual Report 2020-02-28
201989940350 Annual Report 2019-04-05
201856376800 Annual Report 2018-01-19
201737767460 Fictitious Business Name Statement 2017-03-08
201731275330 Annual Report 2017-02-01
201589214400 Annual Report 2015-12-15
201451421770 Annual Report 2014-12-19
201433110100 Annual Report 2014-01-16
201206712140 Annual Report 2012-12-31

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State