| Name: | Evolve Physical Therapy, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 08 Jan 2018 (7 years ago) |
| Date of Dissolution: | 11 Oct 2022 (3 years ago) |
| Date of Status Change: | 11 Oct 2022 (3 years ago) |
| Identification Number: | 001680255 |
| ZIP code: | 02864 |
| County: | Providence County |
| Principal Address: | 6 BARN DRIVE, CUMBERLAND, RI, 02864, USA |
| Purpose: | CASH BASED PHYSICAL 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497222749 | 2018-10-25 | 2018-10-25 | 6 BARN DR, CUMBERLAND, RI, 028644106, US | 6 BARN DR, CUMBERLAND, RI, 028644106, US | |||||||||||||
|
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| Phone | +1 401-580-2976 |
Authorized person
| Name | KIMBERLEY A. CHULA-MAGUIRE |
| Role | OWNER |
| Phone | 4015802976 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KIMBERLEY A. CHULA-MAGUIRE | Agent | 6 BARN DRIVE, CUMBERLAND, RI, 02864, USA |
| Number | Name | File Date |
|---|---|---|
| 202223456750 | Revocation Certificate For Failure to File the Annual Report for the Year | 2022-10-11 |
| 202219307770 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202105096690 | Annual Report | 2021-11-17 |
| 202059716220 | Annual Report | 2020-09-30 |
| 201924823890 | Annual Report | 2019-10-20 |
| 201855774940 | Articles of Organization | 2018-01-08 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
