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  5. PRECISION PAIN TREATMENT CLINIC, LLC

PRECISION PAIN TREATMENT CLINIC, LLC

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Company Details

Name: PRECISION PAIN TREATMENT CLINIC, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 06 Jun 2014 (11 years ago)
Identification Number: 000941944
ZIP code: 02917
City: Smithfield
County: Providence County
Purpose: TO ENGAGE IN PROFESSIONAL SERVICES PURSUANT TO SECTION 7-16.3.1, WHICH INCLUDE PAIN MANAGEMENT SERVICES.
Principal Address: Google Maps Logo 14 CEDAR SWAMP ROAD, SMITHFIELD, RI, 02917, USA
Mailing Address: Google Maps Logo 14 CEDAR SWAMP RD, SMITHFIELD, RI, 02917-2448, USA

Contact Details

Phone +1 401-231-0060

Industry & Business Activity

NAICS

621111 Offices of Physicians (except Mental Health Specialists)

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. 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

Companies doing Offices of physicians (except mental health specialists)

Agent

Name Role Address
THEODORE B. HOWELL, ESQ. Agent 225 DYER STREET 2ND FLOOR, PROVIDENCE, RI, 02903, USA

Manager

Name Role Address
KEITH A. PERRY, M.D. Manager 14 CEDAR SWAMP ROAD SMITHFIELD, RI 02917 USA

National Provider Identifier

NPI Number:
1033523063
Link:
View on NPI website

Authorized Person:

Name:
KEITH PERRY
Role:
MD
Phone:
4012310060

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 401-231-0060
Fax:
4012310064

Form 5500 Series

Employer Identification Number (EIN):
471040316
Plan Year:
2024
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
4012310060
File:
View File
Plan Administrator / Signatory:
ILANA BURNS(Plan administrator)
Plan Year:
2023
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
4012310060
File:
View File
Plan Administrator / Signatory:
ILANA BURNS(Plan administrator)
Plan Year:
2022
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
4012310060
File:
View File
Plan Administrator / Signatory:
ILANA BURNS(Plan administrator)
Plan Year:
2021
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
4012310060
File:
View File
Plan Administrator / Signatory:
ILANA BURNS(Plan administrator)
Plan Year:
2020
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
4012310060
File:
View File
Plan Administrator / Signatory:
ILANA BURNS(Plan administrator)

Licenses

License No License Type Status Date Issued Expiration Date
RAD0231 Radiology Facility Active 2014-09-15 2026-08-31

Filings

Number Name File Date
202457063700 Annual Report 2024-06-24
202456410640 Revocation Notice For Failure to File An Annual Report 2024-06-18
202332017390 Annual Report 2023-03-30
202222067010 Statement of Change of Registered/Resident Agent Office 2022-08-10
202216099290 Annual Report 2022-04-28

Uniform Commercial Code

Uniform Commercial Code Summary

Type:
UCC-3 ASSIGNMENT
UCC Filing Number:
202228122010
Filing Date:
2022-12-15
Action:
Assignment

Parties

Party Name:
PRECISION PAIN TREATMENT CLINIC, LLC
Party Role:
Debtor(s)
Party Name:
MMP CAPITAL INC, ISAOA
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202228048680
Filing Date:
2022-11-30
Action:
InitialFiling

Parties

Party Name:
PRECISION PAIN TREATMENT CLINIC, LLC
Party Role:
Debtor(s)
Party Name:
NORTH MILL CREDIT TRUST
Party Role:
Secured Parties

Uniform Commercial Code Summary

Type:
UCC-1 Standard
UCC Filing Number:
202228031150
Filing Date:
2022-11-23
Action:
InitialFiling

Parties

Party Name:
PRECISION PAIN TREATMENT CLINIC, LLC
Party Role:
Debtor(s)
Party Name:
MMP CAPITAL INC, ISAOA
Party Role:
Secured Parties

Expenditures

Agency Date Program Subprogram Amount
Office of the General Treasurer 2024-02-06 STATE RETIREMENT SYSTEM Defined Benefit 25.0
Office of the General Treasurer 2024-01-09 STATE RETIREMENT SYSTEM Defined Benefit 25.0
Office of the General Treasurer 2021-10-26 STATE RETIREMENT SYSTEM Defined Benefit 25.0

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$55,062
Date Approved:
2021-03-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$55,062
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$55,369.74
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $55,057
Utilities: $1
Jobs Reported:
3
Initial Approval Amount:
$55,060
Date Approved:
2020-06-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$55,060
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$55,512.55
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $55,060

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Date of last update: 14 Jul 2025

Sources: Rhode Island Department of State

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