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FORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE, LLC

Company Details

Name: FORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 06 Dec 2013 (11 years ago)
Identification Number: 000869919
ZIP code: 02852
County: Washington County
Purpose: PROVIDES PHYSICAL THERAPY SERVICES
Principal Address: Google Maps Logo 250 SCRABBLETOWN ROAD, NORTH KINGSTOWN, RI, 02852, USA
Mailing Address: Google Maps Logo 250 SCRABBLETOWN RD, NORTH KINGSTOWN, RI, 02852, USA

Industry & Business Activity

NAICS

621340 Offices of Physical, Occupational and Speech Therapists, and Audiologists

This industry comprises establishments of independent health practitioners primarily engaged in one of the following: (1) providing physical therapy services to patients who have impairments, functional limitations, disabilities, or changes in physical functions and health status resulting from injury, disease or other causes, or who require prevention, wellness or fitness services; (2) planning and administering educational, recreational, and social activities designed to help patients or individuals with disabilities regain physical or mental functioning or adapt to their disabilities; and (3) diagnosing and treating speech, language, or hearing problems. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau

Agent

Name Role Address
GUERRINO BONI Agent 22 INKBERRY TRAIL, NARRAGANSETT, RI, 02882, USA

National Provider Identifier

NPI Number:
1629486550

Authorized Person:

Name:
GUERRINO BONI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202445155770 Annual Report 2024-02-01
202343215530 Annual Report 2023-12-04
202343203500 Statement of Change of Registered/Resident Agent 2023-12-04
202215903930 Annual Report 2022-04-27
202105473950 Annual Report 2021-11-29

Uniform Commercial Code

The Uniform Commercial Code (UCC) is a comprehensive set of laws governing all commercial transactions in the United States.

A UCC filing is a public notice of a secured transaction. A financing statement indicates a commercial agreement between a debtor and a secured party.

Uniform Commercial Code Summary

Type:
UCC-3 TERMINATION
UCC Filing Number:
Filing Date:
2024-07-05
Action:
TerminationSecuredParty

Parties

Party Name:
FORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Party Role:
Debtor(s)

Uniform Commercial Code Summary

Type:
UCC-3 AMENDMENT
UCC Filing Number:
Filing Date:
2023-03-07
Action:
SecuredPartyChange

Parties

Party Name:
FORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Party Role:
Debtor(s)
Party Role:
Secured Parties
Party Name:
NORTHEAST BANK
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-3 CONTINUATION
UCC Filing Number:
Filing Date:
2018-12-11
Action:
Continuation

Parties

Party Name:
FORM & FUNCTION PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Party Role:
Debtor(s)
Party Role:
Secured Parties

Date of last update: 31 May 2025

Sources: Rhode Island Department of State