| Name: | Jessica Clayburgh, MSPT, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of Organization in Rhode Island: | 17 Dec 2018 (6 years ago) |
| Date of Dissolution: | 11 Aug 2023 (2 years ago) |
| Date of Status Change: | 11 Aug 2023 (2 years ago) |
| Identification Number: | 001690904 |
| ZIP code: | 02914 |
| County: | Providence County |
| Principal Address: | 201 WATERMAN AVE, EAST PROVIDENCE, RI, 02914, USA |
| Mailing Address: | 2044 BROAD STREET, CRANSTON, RI, 02905, USA |
| Purpose: | PHYSICAL THERAPY OFFICE |
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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861965063 | 2019-01-10 | 2019-01-10 | 444 ANGELL ST, PROVIDENCE, RI, 029064481, US | 444 ANGELL ST, PROVIDENCE, RI, 029064481, US | |||||||||||||
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| Phone | +1 401-256-9159 |
Authorized person
| Name | JESSICA CLAYBURGH |
| Role | OWNER |
| Phone | 4012569159 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JESSICA E CLAYBURGH | Agent | 2044 BROAD STREET, CRANSTON, RI, 02905, USA |
| Number | Name | File Date |
|---|---|---|
| 202340292840 | Articles of Dissolution | 2023-08-11 |
| 202328481260 | Annual Report | 2023-02-15 |
| 202220887610 | Annual Report | 2022-07-09 |
| 202219476070 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202107255310 | Annual Report | 2021-12-17 |
| 202106419100 | Revocation Notice For Failure to File An Annual Report | 2021-12-03 |
| 202075970170 | Annual Report | 2020-11-18 |
| 201882773190 | Articles of Organization | 2018-12-17 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5253647304 | 2020-04-30 | 0165 | PPP | 10 Exchange Ct Apt 306, Pawtucket, RI, 02860 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9770328403 | 2021-02-17 | 0165 | PPS | 444 Angell St, Providence, RI, 02906-4481 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
