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HOME PHYSICAL THERAPY AND WELLNESS P.C.

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Company Details

Name: HOME PHYSICAL THERAPY AND WELLNESS P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 22 Nov 2002 (23 years ago)
Entity Number: 2838232
ZIP code: 11735
County: Nassau
Place of Formation: New York
Address: 54 WASHINGTON STREET, FARMINGDALE, NY, United States, 11735
Principal Address: 54 WASHINGTON ST, FARMINGDALE, NY, United States, 11735

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JANA HERR Chief Executive Officer 54 WASHINGTON ST, FARMINGDALE, NY, United States, 11735

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 54 WASHINGTON STREET, FARMINGDALE, NY, United States, 11735

National Provider Identifier

NPI Number:
1457342552

Authorized Person:

Name:
MS. JANA LORI HERR
Role:
PHYSICAL THERAPIST/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5166944426

History

Start date End date Type Value
2004-12-24 2012-11-19 Address 54 WASHINGOTN ST, FARMINGDALE, NY, 11735, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
201102061912 2020-11-02 BIENNIAL STATEMENT 2020-11-01
190116060840 2019-01-16 BIENNIAL STATEMENT 2018-11-01
161102006228 2016-11-02 BIENNIAL STATEMENT 2016-11-01
141103008425 2014-11-03 BIENNIAL STATEMENT 2014-11-01
121119006406 2012-11-19 BIENNIAL STATEMENT 2012-11-01

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Date of last update: 30 Mar 2025

Sources: New York Secretary of State