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PROACTIVE PHYSICAL THERAPY & SPORTS REHABILITATION PLLC

Company Details

Name: PROACTIVE PHYSICAL THERAPY & SPORTS REHABILITATION PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 12 Apr 2004 (21 years ago)
Entity Number: 3039308
ZIP code: 10510
County: Westchester
Place of Formation: New York
Address: 1858 PLEASANTVILLE ROAD, #139, BRIARCLIFF MANOR, NY, United States, 10510

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 1858 PLEASANTVILLE ROAD, #139, BRIARCLIFF MANOR, NY, United States, 10510

National Provider Identifier

NPI Number:
1821125147

Authorized Person:

Name:
MR. DEMETRIOS FARMAKOPOULOS
Role:
PHYSICAL THERAPIST OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
9147412851

Form 5500 Series

Employer Identification Number (EIN):
260080205
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
8
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
040412000978 2004-04-12 ARTICLES OF ORGANIZATION 2004-04-12

Date of last update: 29 Mar 2025

Sources: New York Secretary of State