| Name: | Primal Physical Therapy & Sports Medicine, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 04 Mar 2020 (5 years ago) |
| Identification Number: | 001705665 |
| ZIP code: | 02888 |
| County: | Kent County |
| Principal Address: | 53 VENTURI AVENUE, WARWICK, RI, 02888, USA |
| Purpose: | PHYSICAL THERAPY |
| NAICS: | 621340 - Offices of Physical, Occupational and Speech Therapists, and Audiologists |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639706229 | 2020-03-24 | 2020-03-24 | 775 WILLIAMSBURG CIR, WARWICK, RI, 028861741, US | 25 CORONADO RD, WARWICK, RI, 028861404, US | |||||||||||||
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| Phone | +1 508-277-5233 |
Authorized person
| Name | TIMOTHY DAVID SWENSON |
| Role | PHYSICAL THERAPIST, OWNER |
| Phone | 5082775233 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THERESA L. SOUSA, ESQ. | Agent | BIANCHI BROUILLARD SOUSA & OCONNELL P.C. 56 PINE STREET SUITE 250, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| TIMOTHY D. SWENSON | PRESIDENT | 11 EAGLE STREET, UNIT 329 PROVIDENCE, RI 02908 USA |
| Number | Name | File Date |
|---|---|---|
| 202454220610 | Annual Report | 2024-05-01 |
| 202333076170 | Annual Report | 2023-04-14 |
| 202216832310 | Annual Report | 2022-04-28 |
| 202193880960 | Annual Report | 2021-03-12 |
| 202035840600 | Articles of Incorporation | 2020-03-04 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
