| Name: | MIND AND BODY REHAB LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 Sep 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: | 001666636 |
| ZIP code: | 02817 |
| County: | Kent County |
| Principal Address: | 294 ROBIN HOLLOW ROAD, WEST GREENWICH, RI, 02817, USA |
| Purpose: | PHYSICAL/OCCUPATIONAL THERAPY |
NAICS
621340 Offices of Physical, Occupational and Speech Therapists, and AudiologistsThis 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427507854 | 2016-09-27 | 2016-09-27 | 461 MAIN ST, PAWTUCKET, RI, 028602913, US | 461 MAIN ST, PAWTUCKET, RI, 028602913, US | |||||||||||||||||||||||
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| Phone | +1 401-722-1311 |
| Fax | 4017222246 |
Authorized person
| Name | GREGORY ANDRADE |
| Role | OWNER |
| Phone | 40172213111 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GREGORY ANDRADE | Agent | 294 ROBIN HOLLOW ROAD, WEST GREENWICH, RI, 02817, USA |
| Number | Name | File Date |
|---|---|---|
| 201906465760 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992700200 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201753283670 | Annual Report | 2017-11-13 |
| 201608660300 | Articles of Organization | 2016-09-12 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
