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Primal Physical Therapy & Sports Medicine, Inc.

Company Details

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
Purpose: PHYSICAL THERAPY
Principal Address: Google Maps Logo 53 VENTURI AVENUE, WARWICK, RI, 02888, USA

Industry & Business Activity

NAICS

621340 Offices of Physical, Occupational and Speech Therapists, and Audiologists

This 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

Agent

Name Role Address
THERESA L. SOUSA, ESQ. Agent BIANCHI BROUILLARD SOUSA & OCONNELL P.C. 56 PINE STREET SUITE 250, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
TIMOTHY D. SWENSON PRESIDENT 11 EAGLE STREET, UNIT 329 PROVIDENCE, RI 02908 USA

National Provider Identifier

NPI Number:
1639706229
Certification Date:
2020-03-24

Authorized Person:

Name:
TIMOTHY DAVID SWENSON
Role:
PHYSICAL THERAPIST, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Filings

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: 13 May 2025

Sources: Rhode Island Department of State