| 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 Centers |
| 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 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
