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PREMIER PHYSICAL THERAPY OF LONG ISLAND, P.C.

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Company Details

Name: PREMIER PHYSICAL THERAPY OF LONG ISLAND, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Jan 2011 (15 years ago)
Entity Number: 4045623
ZIP code: 11746
County: Nassau
Place of Formation: New York
Address: 15 OTESEGO AVENUE, DIX HILLS, NY, United States, 11746
Principal Address: 1 TERRY ST, PATCHOGUE, NY, United States, 11772

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
PREMIER PHYSICAL THERAPY OF LONG ISLAND, P.C. DOS Process Agent 15 OTESEGO AVENUE, DIX HILLS, NY, United States, 11746

Chief Executive Officer

Name Role Address
MATTHEW ANGELILLO Chief Executive Officer 15 OTSEGO AVENUE, DIX HILLS, NY, United States, 11746

National Provider Identifier

NPI Number:
1528351988

Authorized Person:

Name:
DR. MATTHEW DAVID ANGELILLO
Role:
DIRECTOR
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2013-01-31 2015-01-28 Address 84 PACIFIC BLVD, LONG BEACH, NY, 11561, USA (Type of address: Chief Executive Officer)
2011-01-21 2015-01-28 Address 84 PACIFIC BLVD, LONG BEACH, NY, 11561, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
170106006445 2017-01-06 BIENNIAL STATEMENT 2017-01-01
150128006603 2015-01-28 BIENNIAL STATEMENT 2015-01-01
130131002019 2013-01-31 BIENNIAL STATEMENT 2013-01-01
110121000830 2011-01-21 CERTIFICATE OF INCORPORATION 2011-01-21

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$11,286
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$11,286
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$11,382.78
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $11,286

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State