Search icon

ISLAND SPORTS PHYSICAL THERAPY OF SMITHTOWN, P.C.

Company Details

Name: ISLAND SPORTS PHYSICAL THERAPY OF SMITHTOWN, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Oct 1996 (29 years ago)
Entity Number: 2075172
ZIP code: 11731
County: Suffolk
Place of Formation: New York
Address: 3072 JERICHO TPKE, EAST NORTHPORT, NY, United States, 11731

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
KEITH A MAY Chief Executive Officer 3072 JERICHO TPKE, EAST NORTHPORT, NY, United States, 11731

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 3072 JERICHO TPKE, EAST NORTHPORT, NY, United States, 11731

National Provider Identifier

NPI Number:
1639109770

Authorized Person:

Name:
KEITH MAY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6319795908

History

Start date End date Type Value
2024-10-01 2024-10-01 Address 3072 JERICHO TPKE, EAST NORTHPORT, NY, 11731, USA (Type of address: Chief Executive Officer)
2012-11-19 2024-10-01 Address 3072 JERICHO TPKE, EAST NORTHPORT, NY, 11731, USA (Type of address: Service of Process)
2012-11-19 2024-10-01 Address 3072 JERICHO TPKE, EAST NORTHPORT, NY, 11731, USA (Type of address: Chief Executive Officer)
1998-10-02 2012-11-19 Address ISLAND SPORTS PHYSICAL THERAPY, 1937 JERICHO TPKE, EAST NORTHPORT, NY, 11731, USA (Type of address: Chief Executive Officer)
1998-10-02 2012-11-19 Address 1937 JERICHO TPKE, EAST NORTHPORT, NY, 11731, USA (Type of address: Principal Executive Office)

Filings

Filing Number Date Filed Type Effective Date
241001038822 2024-10-01 BIENNIAL STATEMENT 2024-10-01
221012000897 2022-10-12 BIENNIAL STATEMENT 2022-10-01
170228006045 2017-02-28 BIENNIAL STATEMENT 2016-10-01
141022006440 2014-10-22 BIENNIAL STATEMENT 2014-10-01
121119002074 2012-11-19 BIENNIAL STATEMENT 2012-10-01

Date of last update: 14 Mar 2025

Sources: New York Secretary of State