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LAWRENCE PHYSICAL THERAPY, P.C.

Company Details

Name: LAWRENCE PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Sep 1996 (29 years ago)
Entity Number: 2062261
ZIP code: 11758
County: Nassau
Place of Formation: New York
Address: 100 BROADWAY / SUITE 204, MASSSAPEQUA, NY, United States, 11758
Principal Address: 100 BROADWAY / SUITE 204, MASSAPEQUA, NY, United States, 11758

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 100 BROADWAY / SUITE 204, MASSSAPEQUA, NY, United States, 11758

Chief Executive Officer

Name Role Address
PETER MAXA Chief Executive Officer PO BOX 437 / 100 BROADWAY, MASSAPEQUA, NY, United States, 11758

National Provider Identifier

NPI Number:
1578689642

Authorized Person:

Name:
MR. PETER MAXA
Role:
DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
5167978092
Fax:
5162391980

History

Start date End date Type Value
2008-08-27 2010-11-23 Address 100 BROADWAY, STE 204, MASSSAPEQUA, NY, 11758, USA (Type of address: Service of Process)
2008-08-27 2010-11-23 Address 100 BROADWAY, STE 204, MASSAPEQUA, NY, 11758, USA (Type of address: Principal Executive Office)
2008-08-27 2010-11-23 Address PO BOX 437, 100 BROADWAY, MASSAPEQUA, NY, 11758, USA (Type of address: Chief Executive Officer)
2006-02-14 2008-08-27 Address 135 ROCKAWAY TPKE, LAWRENCE, NY, 11559, 1023, USA (Type of address: Principal Executive Office)
2006-02-14 2008-08-27 Address 135 ROCKAWAY TPKE, STE 107, LAWRENCE, NY, 11559, 1023, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
101123002119 2010-11-23 BIENNIAL STATEMENT 2010-09-01
080827002654 2008-08-27 BIENNIAL STATEMENT 2008-09-01
061003002528 2006-10-03 BIENNIAL STATEMENT 2006-09-01
060214002579 2006-02-14 BIENNIAL STATEMENT 2004-09-01
041115002300 2004-11-15 BIENNIAL STATEMENT 2004-09-01

Date of last update: 14 Mar 2025

Sources: New York Secretary of State