| Name: | SILVER FERN PRACTICE LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 30 Apr 2003 (22 years ago) |
| Identification Number: | 000131703 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02906, USA |
| Mailing Address: | 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA |
| Purpose: | PHYSICAL THERAPY |
| NAICS: | 621340 - Offices of Physical, Occupational and Speech Therapists, and Audiologists |
| Fictitious names: |
Highbar (trading name, 2023-02-22 - ) Performance Physical Therapy (trading name, 2007-05-24 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245942564 | 2022-12-19 | 2024-08-19 | 4 RICHMOND SQ STE 200, PROVIDENCE, RI, 029065117, US | 1 NEW LONDON AVE UNIT 9, CRANSTON, RI, 029205600, US | |||||||||||||||||
|
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| Phone | +1 401-433-4172 |
| Phone | +1 401-726-7100 |
| Fax | 4014330612 |
Authorized person
| Name | ANGELA CARON |
| Role | CREDENTIALING SPECIALIST |
| Phone | 4014334172 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RACHELLE GREEN | Agent | 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 202445297100 | Annual Report | 2024-02-01 |
| 202329077840 | Fictitious Business Name Statement | 2023-02-22 |
| 202328711510 | Annual Report | 2023-02-17 |
| 202222131180 | Statement of Change of Registered/Resident Agent Office | 2022-08-14 |
| 202215262820 | Annual Report | 2022-04-20 |
| 202101017590 | Annual Report | 2021-09-07 |
| 202059678410 | Annual Report | 2020-10-01 |
| 202059667810 | Statement of Change of Registered/Resident Agent | 2020-09-30 |
| 201927470000 | Annual Report | 2019-11-14 |
| 201994004900 | Statement of Change of Registered/Resident Agent Office | 2019-05-23 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
