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RENEW PHYSICAL THERAPY & WELLNESS STUDIO LLC

Company Details

Name: RENEW PHYSICAL THERAPY & WELLNESS STUDIO LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 04 Apr 2016 (9 years ago)
Date of Dissolution: 22 Jul 2019 (6 years ago)
Date of Status Change: 22 Jul 2019 (6 years ago)
Identification Number: 001661990
ZIP code: 02904
County: Providence County
Principal Address: 1630 MINERAL SPRING AVE SUITES 6-7, NORTH PROVIDENCE, RI, 02904, USA
Mailing Address: 1630 MINERAL SPRING AVE, NORTH PROVIDENCE, RI, 02904, USA
Purpose: PHYSICAL THERAPY
NAICS: 621340 - Offices of Physical, Occupational and Speech Therapists, and Audiologists
Fictitious names: Renew Physical Therapy & Wellness Studio (trading name, 2016-09-14 - )

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114371358 2016-04-13 2016-05-13 1630 MINERAL SPRING AVE STE 6-7, NORTH PROVIDENCE, RI, 029044043, US 1630 MINERAL SPRING AVE STE 6-7, NORTH PROVIDENCE, RI, 029044043, US

Contacts

Phone +1 401-400-5282

Authorized person

Name JAVID CALCATTI
Role MEDICAL DIRECTOR
Phone 4019528392

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
JAVID CALCATTI Agent 1630 MINERAL SPRING AVENUE SUITES 6-7, NORTH PROVIDENCE, RI, 02904, USA

Filings

Number Name File Date
201906446020 Revocation Certificate For Failure to File the Annual Report for the Year 2019-07-22
201992932700 Revocation Notice For Failure to File An Annual Report 2019-05-13
201857468360 Annual Report 2018-02-03
201608842490 Fictitious Business Name Statement 2016-09-14
201695587540 Articles of Organization 2016-04-04

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State