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Jessica Clayburgh, MSPT, LLC

Company Details

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 (a year ago)
Date of Status Change: 11 Aug 2023 (a year 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 Audiologists

National Provider Identifier

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

Contacts

Phone +1 401-256-9159

Authorized person

Name JESSICA CLAYBURGH
Role OWNER
Phone 4012569159

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
JESSICA E CLAYBURGH Agent 2044 BROAD STREET, CRANSTON, RI, 02905, USA

Filings

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

Date of last update: 27 Oct 2024

Sources: Rhode Island Department of State