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Specialized Orthopedic Physical Therapy, Inc.

Company Details

Name: Specialized Orthopedic Physical Therapy, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 30 Aug 2002 (22 years ago)
Identification Number: 000126777
ZIP code: 02886
County: Kent County
Principal Address: 250A CENTERVILLE ROAD, WARWICK, RI, 02886, USA
Purpose: PHYSICAL THERAPY INCLUDING BUT NOT LIMITED TO GENERAL ORTHOPEDIC TO GENERAL SPORTS MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578518718 2006-05-24 2014-12-18 250A CENTERVILLE ROAD, WARWICK, RI, 02886, US 250A CENTERVILLE ROAD, WARWICK, RI, 02886, US

Contacts

Phone +1 401-384-6490
Fax 4013846493

Authorized person

Name JASON ULISSE
Role PRESIDENT
Phone 4013846490

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2023 050528732 2024-04-03 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2024-04-03
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2022 050528732 2023-07-12 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2023-07-12
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2021 050528732 2022-07-19 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2022-07-19
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2020 050528732 2021-04-14 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2021-04-14
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2019 050528732 2020-04-07 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2020-04-07
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2019 050528732 2020-03-30 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 8
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2020-03-30
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2018 050528732 2019-02-25 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2019-02-25
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2017 050528732 2018-05-02 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2018-05-02
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2016 050528732 2017-09-27 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2017-09-27
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 401K PLAN 2015 050528732 2016-04-25 SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2016-04-25
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/06/20151006144856P040029791255001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2015-10-06
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2014/06/11/20140611093009P030129321445001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2014-06-11
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/19/20130719095443P040113163253001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Signature of

Role Plan administrator
Date 2013-07-19
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2012/05/01/20120501134333P030000405651001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address

Administrator’s EIN 050528732
Plan administrator’s name SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC.
Plan administrator’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4013846490

Signature of

Role Plan administrator
Date 2012-05-01
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2011/03/30/20110330135228P030033950689001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address

Administrator’s EIN 050528732
Plan administrator’s name SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC.
Plan administrator’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4013846490

Signature of

Role Plan administrator
Date 2011-03-30
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature
File https://efast2-filings-public.s3.amazonaws.com/prd/2010/10/14/20101014225241P070013166498001.pdf
Three-digit plan number (PN) 001
Effective date of plan 2006-01-01
Business code 621340
Sponsor’s telephone number 4013846490
Plan sponsor’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886

Plan administrator’s name and address

Administrator’s EIN 050528732
Plan administrator’s name SPECIALIZED ORTHOPEDIC PHYSICAL THERAPY, INC.
Plan administrator’s address 250 CENTERVILLE ROAD, WARWICK, RI, 02886
Administrator’s telephone number 4013846490

Signature of

Role Plan administrator
Date 2010-10-14
Name of individual signing JASON ULISSE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ARTHUR J. LEONARD, ESQ. Agent 272 WEST EXCHANGE STREET SUITE 001, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
JASON M. ULISSE PRESIDENT 212 WILBUR WAY NORTH KINGSTOWN, RI 02852 USA

Filings

Number Name File Date
202454578900 Annual Report 2024-05-07
202446252270 Statement of Change of Registered/Resident Agent Office 2024-02-13
202329811480 Annual Report 2023-02-28
202214481970 Annual Report 2022-04-06
202187804550 Annual Report 2021-01-21
202033381790 Annual Report 2020-01-29
201926935050 Annual Report 2019-01-11
201983651360 Statement of Change of Registered/Resident Agent Office 2019-01-03
201856398280 Annual Report 2018-01-18
201731037460 Annual Report 2017-01-27

Date of last update: 09 Oct 2024

Sources: Rhode Island Department of State