| 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 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 | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
