| Name: | Concord Physical Therapy, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 17 Mar 2011 (14 years ago) |
| Date of Dissolution: | 06 Nov 2014 (10 years ago) |
| Date of Status Change: | 06 Nov 2014 (10 years ago) |
| Identification Number: | 000609514 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 30 ROLFE SQUARE, CRANSTON, RI, 02910, USA |
| Purpose: | PHYSICAL THERAPY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245529692 | 2011-04-06 | 2011-04-06 | 30 ROLFE SQ, CRANSTON, RI, 029102802, US | 30 ROLFE SQ, CRANSTON, RI, 029102802, US | |||||||||||||||||
|
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| Phone | +1 401-784-3712 |
Authorized person
| Name | GWEN KANIA |
| Role | ADMINISTRATOR |
| Phone | 4017843712 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT01523 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JAMES O. REAVIS, ESQ. | Agent | 55 DORRANCE STREET SUITE 200, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| DAVID EDWARD DIFILIPPO | PRESIDENT | 30 ROLFE SQUARE CRANSTON, RI 02910 USA |
| Number | Name | File Date |
|---|---|---|
| 201449556440 | Revocation Certificate For Failure to File the Annual Report for the Year | 2014-11-06 |
| 201439623000 | Revocation Notice For Failure to File An Annual Report | 2014-05-20 |
| 201314699700 | Annual Report | 2013-04-03 |
| 201294223560 | Annual Report | 2012-06-22 |
| 201293302590 | Revocation Notice For Failure to File An Annual Report | 2012-05-23 |
| 201176647000 | Articles of Incorporation | 2011-03-17 |
Date of last update: 15 Oct 2024
Sources: Rhode Island Department of State
