| Name: | PREMIER PHYSICAL THERAPY, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 29 Mar 2012 (13 years ago) |
| Identification Number: | 000789157 |
| ZIP code: | 02808 |
| County: | Washington County |
| Principal Address: | 4 HOPKINS HOLLOW, BRADFORD, RI, 02808, USA |
| Mailing Address: | 4 HOPKINS HOLLOW ROAD, BRADFORD, RI, 02808, USA |
| Purpose: | PHYSICAL THERAPY SERVICES |
NAICS
621498 All Other Outpatient Care CentersThis U.S. industry comprises establishments with medical staff primarily engaged in providing general or specialized outpatient care (except family planning centers, outpatient mental health and substance abuse centers, HMO medical centers, kidney dialysis centers, and freestanding ambulatory surgical and emergency centers). Centers or clinics of health practitioners with different degrees from more than one industry practicing within the same establishment (i.e., Doctor of Medicine and Doctor of Dental Medicine) are included in this industry. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952669335 | 2012-04-24 | 2012-04-24 | 50 AIRPORT RD, WESTERLY, RI, 028913402, US | 50 AIRPORT RD, WESTERLY, RI, 028913402, US | |||||||||||||||||||
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| Phone | +1 401-596-1616 |
| Fax | 4015961650 |
Authorized person
| Name | MR. JUSTIN JON GWALTNEY |
| Role | OWNER/PHYSICAL THERAPIST |
| Phone | 4015961616 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | 01993 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JUSTIN GWALTNEY | Agent | 50 AIRPORT ROAD, WESTERLY, RI, 02891, USA |
| Name | Role | Address |
|---|---|---|
| JUSTIN GWALTNEY | MANAGER | 4 HOPKINS HOLLOIW ROAD BRADFORD, RI 02808 |
| Number | Name | File Date |
|---|---|---|
| 202447818420 | Annual Report | 2024-03-04 |
| 202332175180 | Annual Report | 2023-04-02 |
| 202213103350 | Annual Report | 2022-03-19 |
| 202103735690 | Annual Report | 2021-10-24 |
| 202076470480 | Statement of Change of Registered/Resident Agent | 2020-11-19 |
| 202074686540 | Annual Report | 2020-11-13 |
| 201930858000 | Annual Report | 2019-12-30 |
| 201880997930 | Annual Report | 2018-11-08 |
| 201754360000 | Annual Report | 2017-11-30 |
| 201611882850 | Annual Report | 2016-11-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6521178303 | 2021-01-27 | 0165 | PPS | 50 Airport Rd, Westerly, RI, 02891-3402 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6877867009 | 2020-04-07 | 0165 | PPP | 50 AIRPORT RD, WESTERLY, RI, 02891-3402 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
