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VICTORY PHYSICAL THERAPY, P.C.

Company Details

Name: VICTORY PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Mar 1992 (33 years ago)
Entity Number: 1622130
ZIP code: 10314
County: Richmond
Place of Formation: New York
Principal Address: 2550 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314
Address: 2550 VICTORY BLVD, STE 301, STATEN ISLAND, NY, United States, 10314

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
VICTORY PHYSICAL THERAPY P.C DOS Process Agent 2550 VICTORY BLVD, STE 301, STATEN ISLAND, NY, United States, 10314

Chief Executive Officer

Name Role Address
KISHORE K KANDURI Chief Executive Officer VICTORY PHYSICAL THERAPY PC, 2550 VICTORY BLVD, STATEN ISLAND, NY, United States, 10314

National Provider Identifier

NPI Number:
1659595254

Authorized Person:

Name:
MS. DIANE CAROL RYAN
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7187616980

Form 5500 Series

Employer Identification Number (EIN):
113100538
Plan Year:
2017
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:

History

Start date End date Type Value
2024-03-01 2024-03-01 Address VICTORY PHYSICAL THERAPY PC, 2550 VICTORY BLVD, STATEN ISLAND, NY, 10314, 6610, USA (Type of address: Chief Executive Officer)
2024-03-01 2024-03-01 Address VICTORY PHYSICAL THERAPY PC, 2550 VICTORY BLVD, STATEN ISLAND, NY, 10314, USA (Type of address: Chief Executive Officer)
2018-08-08 2024-03-01 Address VICTORY PHYSICAL THERAPY PC, 2550 VICTORY BLVD, STATEN ISLAND, NY, 10314, 6610, USA (Type of address: Chief Executive Officer)
2008-03-19 2024-03-01 Address 2550 VICTORY BLVD, STE 301, STATEN ISLAND, NY, 10314, USA (Type of address: Service of Process)
2006-03-22 2018-08-08 Address VICTORY PHYSICAL THERAPY PC, 2550 VICTORY BLVD, STATEN ISLAND, NY, 10314, 6610, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
240301044136 2024-03-01 BIENNIAL STATEMENT 2024-03-01
220705002397 2022-07-05 BIENNIAL STATEMENT 2022-03-01
180808006057 2018-08-08 BIENNIAL STATEMENT 2018-03-01
160303006782 2016-03-03 BIENNIAL STATEMENT 2016-03-01
140408006608 2014-04-08 BIENNIAL STATEMENT 2014-03-01

Date of last update: 15 Mar 2025

Sources: New York Secretary of State