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KINESIOLOGIC PHYSICAL THERAPY, P.C.

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Company Details

Name: KINESIOLOGIC PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 23 Feb 2011 (14 years ago)
Entity Number: 4058870
ZIP code: 11530
County: Nassau
Place of Formation: New York
Address: 734 FRANKLIN AVE, STE 172, GARDEN CITY, NY, United States, 11530
Principal Address: 38 STRATFORD AVE, GARDEN CITY, NY, United States, 11530

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
DOUGLAS W. GELLER Chief Executive Officer 13 MCCULLOUGH PLACE, RYE, NY, United States, 10580

DOS Process Agent

Name Role Address
KINESIOLOGIC PHYSICAL THERAPY, P.C. DOS Process Agent 734 FRANKLIN AVE, STE 172, GARDEN CITY, NY, United States, 11530

National Provider Identifier

NPI Number:
1558637165

Authorized Person:

Name:
DOUGLAS GELLER
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2025-07-11 2025-07-11 Address 13 MCCULLOUGH PLACE, RYE, NY, 10580, USA (Type of address: Chief Executive Officer)
2021-02-03 2025-07-11 Address 13 MCCULLOUGH PLACE, RYE, NY, 10580, USA (Type of address: Chief Executive Officer)
2021-02-03 2025-07-11 Address 734 FRANKLIN AVE, STE 172, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)
2013-04-17 2021-02-03 Address 105 SACKVILLE RD, GARDEN CITY, NY, 11530, USA (Type of address: Chief Executive Officer)
2011-02-23 2021-02-03 Address 105 SACKVILLE ROAD, GARDEN CITY, NY, 11530, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250711002448 2025-07-11 BIENNIAL STATEMENT 2025-07-11
210203060245 2021-02-03 BIENNIAL STATEMENT 2021-02-01
130417006027 2013-04-17 BIENNIAL STATEMENT 2013-02-01
110223000694 2011-02-23 CERTIFICATE OF INCORPORATION 2011-02-23

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State