| Name: | Ciarniello Physical Therapy, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 29 Aug 2006 (18 years ago) |
| Date of Dissolution: | 26 Jun 2014 (11 years ago) |
| Date of Status Change: | 26 Jun 2014 (11 years ago) |
| Identification Number: | 000158289 |
| ZIP code: | 02903 |
| County: | Providence County |
| Principal Address: | 222 SOUTH WATER STREET, PROVIDENCE, RI, 02903, USA |
| Mailing Address: | 354 ORCHARD WOODS DRIVE, SAUNDERSTOWN, RI, 02874, USA |
| Purpose: | PHYSICAL THERAPY SERVICES |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831250299 | 2006-12-12 | 2020-08-22 | 222 S WATER ST, PROVIDENCE, RI, 029032969, US | 222 S WATER ST, PROVIDENCE, RI, 029032969, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 401-273-0044 |
| Fax | 4018614567 |
Authorized person
| Name | MR. DINO CIARNIELLO |
| Role | OWNER |
| Phone | 4012730044 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT01324 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | FIRST HEALTH |
| Number | 2273481 |
| State | RI |
| Issuer | BLUE CROSS BLUE SHIELD RI |
| Number | 31948-5 |
| State | RI |
| Issuer | BLUECHIP |
| Number | 409448 |
| State | RI |
| Issuer | UNITEDHEALTHCARE |
| Number | 2748143 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| GORDON A. CARPENTER | Agent | 55 PINE STREET 4TH FLOOR, PROVIDENCE, RI, 02903, USA |
| Number | Name | File Date |
|---|---|---|
| 201441954640 | Articles of Dissolution | 2014-06-26 |
| 201441953490 | Annual Report | 2014-06-26 |
| 201441953850 | Annual Report | 2014-06-26 |
| 201441953940 | Annual Report | 2014-06-26 |
| 201441954000 | Annual Report | 2014-06-26 |
| 201441953300 | Reinstatement | 2014-06-26 |
| 201180552280 | Revocation Certificate For Failure to File the Annual Report for the Year | 2011-06-27 |
| 201178249310 | Statement of Change of Registered/Resident Agent Office | 2011-04-29 |
| 201177502290 | Revocation Notice For Failure to File An Annual Report | 2011-04-04 |
| 200951513040 | Annual Report | 2009-09-21 |
Date of last update: 10 Oct 2024
Sources: Rhode Island Department of State
