| Name: | LEPRE PHYSICAL THERAPY OF JOHNSTON, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 20 Jul 2005 (20 years ago) |
| Date of Dissolution: | 15 Jun 2009 (16 years ago) |
| Date of Status Change: | 15 Jun 2009 (16 years ago) |
| Identification Number: | 000149590 |
| ZIP code: | 02919 |
| County: | Providence County |
| Principal Address: | 1539 ATWOOD AVENUE, JOHNSTON, RI, 02919, USA |
| Purpose: | OFFICE AND MEDICAL USE. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659489763 | 2006-08-28 | 2020-08-22 | PO BOX 20372, CRANSTON, RI, 029200944, US | 1539 ATWOOD AVE, JOHNSTON, RI, 029193262, US | |||||||||||||||||||
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| Phone | +1 401-785-1016 |
| Fax | 4017851018 |
| Phone | +1 401-351-0515 |
| Fax | 4013510530 |
Authorized person
| Name | JUDY LOENS |
| Role | BILLING SPECIALIST |
| Phone | 4017851016 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMES A. DONNELLY | Agent | 24 SALT POND ROAD C-3, WAKEFIELD, RI, 02879, USA |
| Number | Name | File Date |
|---|---|---|
| 200946479100 | Revocation Certificate For Failure to File the Annual Report for the Year | 2009-06-15 |
| 200944249390 | Revocation Notice For Failure to File An Annual Report | 2009-03-25 |
| 200701733120 | Annual Report | 2007-10-30 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
