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PRESCRIPTION FITNESS PHYSICAL THERAPY, P.C.

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Company Details

Name: PRESCRIPTION FITNESS PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Nov 2003 (22 years ago)
Entity Number: 2979057
ZIP code: 14456
County: Ontario
Place of Formation: New York
Principal Address: 515 WEST WASHINGTON STREET, GENEVA, NY, United States, 14456
Address: 515 w. washington st, Geneva, AL, United States, 14456

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
JOSHUA D KERLAN Chief Executive Officer 515 WEST WASHINGTON STREET, GENEVA, NY, United States, 14456

DOS Process Agent

Name Role Address
PRESCRIPTION FITNESS PHYSICAL THERAPY PC DOS Process Agent 515 w. washington st, Geneva, AL, United States, 14456

National Provider Identifier

NPI Number:
1972721090

Authorized Person:

Name:
JOSHUA D. KERLAN
Role:
OWNER/DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
3157811722

Form 5500 Series

Employer Identification Number (EIN):
200353350
Plan Year:
2024
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:

History

Start date End date Type Value
2024-01-12 2024-01-12 Address 515 WEST WASHINGTON STREET, GENEVA, NY, 14456, 2049, USA (Type of address: Chief Executive Officer)
2024-01-12 2024-01-12 Address 515 WEST WASHINGTON STREET, GENEVA, NY, 14456, USA (Type of address: Chief Executive Officer)
2013-11-21 2024-01-12 Address 515 WEST WASHINGTON STREET, GENEVA, NY, 14456, USA (Type of address: Service of Process)
2013-11-12 2013-11-21 Address 515 WEST WASHINGTON STREET, GENEVA, NY, 14456, 2049, USA (Type of address: Service of Process)
2013-11-12 2024-01-12 Address 515 WEST WASHINGTON STREET, GENEVA, NY, 14456, 2049, USA (Type of address: Chief Executive Officer)

Filings

Filing Number Date Filed Type Effective Date
240112002054 2024-01-12 BIENNIAL STATEMENT 2024-01-12
191101060015 2019-11-01 BIENNIAL STATEMENT 2019-11-01
171101006054 2017-11-01 BIENNIAL STATEMENT 2017-11-01
151102008378 2015-11-02 BIENNIAL STATEMENT 2015-11-01
131121000788 2013-11-21 CERTIFICATE OF CHANGE 2013-11-21

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State