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EXCEL PT SERVICES P.C.

EXCEL PT SERVICES P.C.

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Company Details

Name:	EXCEL PT SERVICES P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	17 Mar 2011 (14 years ago)
Entity Number:	4069188
ZIP code:	11229
County:	New York
Place of Formation:	New York
Address:	2200 OCEAN AVENUE, SUITE #2D, BROOKLYN, NY, United States, 11229
Principal Address:	2200 OCEAN AVE APT 2D, BROOKLYN, NY, United States, 11229

Contact Details

Phone +1 347-251-2084

Phone +1 718-333-0015

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name	Role	Address
INNA KOUPERMAN	DOS Process Agent	2200 OCEAN AVENUE, SUITE #2D, BROOKLYN, NY, United States, 11229

Chief Executive Officer

Name	Role	Address
INNA KOUPERMAN	Chief Executive Officer	2952 BRIGHTON 3 STREET, SUITE 302, BROOKLYN, NY, United States, 11235

National Provider Identifier

NPI Number:

1447541628

Certification Date:

2022-08-30

Link:

View on NPI website

Authorized Person:

Name:

INNA KOUPERMAN

Role:

PHYSICAL THERAPIST

Phone:

3472512084

Taxonomy:

Selected Taxonomy:

225X00000X - Occupational Therapist

Is Primary:

No

Selected Taxonomy:

261QP2000X - Physical Therapy Clinic/Center

Is Primary:

No

Selected Taxonomy:

225100000X - Physical Therapist

Is Primary:

Yes

Contacts:

Phone:

+1 718-301-5900

Form 5500 Series

Employer Identification Number (EIN):

450845481

Plan Year:

2024

Number Of Participants:

7

Sponsors Telephone Number:

3472512084

File:

Plan Year:

2023

Number Of Participants:

4

Sponsors Telephone Number:

3472512084

File:

Plan Year:

2022

Number Of Participants:

3

Sponsors Telephone Number:

3472512084

File:

Plan Year:

2021

Number Of Participants:

2

Sponsors Telephone Number:

3472512084

File:

Plan Year:

2020

Number Of Participants:

2

Sponsors Telephone Number:

3472512084

File:

History

Start date	End date	Type	Value
2013-03-12	2021-03-01	Address	2200 OCEAN AVE APT 2D, BROOKLYN, NY, 11229, USA (Type of address: Chief Executive Officer)
2011-03-17	2024-01-12	Shares	Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number	Date Filed	Type	Effective Date
210301061466	2021-03-01	BIENNIAL STATEMENT	2021-03-01
130312006853	2013-03-12	BIENNIAL STATEMENT	2013-03-01
110317000776	2011-03-17	CERTIFICATE OF INCORPORATION	2011-03-17

Paycheck Protection Program

Jobs Reported:

6

Initial Approval Amount:

$49,841.88

Date Approved:

2021-01-25

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$49,841.88

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$50,204.62

Servicing Lender:

Itria Ventures LLC

Use of Proceeds:

Payroll: $49,837.88
Utilities: $1

Jobs Reported:

5

Initial Approval Amount:

$43,702

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$43,702

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$44,240.92

Servicing Lender:

JPMorgan Chase Bank, National Association

Use of Proceeds:

Payroll: $35,704
Utilities: $570
Rent: $5,944
Healthcare: $1484

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State