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FUNCTIONAL MANUAL PHYSICAL THERAPY SERVICES, P.C.

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Company Details

Name: FUNCTIONAL MANUAL PHYSICAL THERAPY SERVICES, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 28 Apr 2011 (14 years ago)
Entity Number: 4087135
ZIP code: 10528
County: New York
Place of Formation: New York
Address: 314 WEST STREET, HARRISON, NY, United States, 10528
Principal Address: 18 EAST 48TH ST., SUITE 701, NEW YORK, NY, United States, 10017

Shares Details

Shares issued 1000

Share Par Value 0.001

Type PAR VALUE

DOS Process Agent

Name Role Address
BRAD GILDEN DOS Process Agent 314 WEST STREET, HARRISON, NY, United States, 10528

Chief Executive Officer

Name Role Address
BRAD GILDEN Chief Executive Officer 18 EAST 48TH ST, SUITE 701, NEW YORK, NY, United States, 10017

National Provider Identifier

NPI Number:
1770876278

Authorized Person:

Name:
DR. BRAD GILDEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2122264814

Filings

Filing Number Date Filed Type Effective Date
170501006143 2017-05-01 BIENNIAL STATEMENT 2017-04-01
150521006086 2015-05-21 BIENNIAL STATEMENT 2015-04-01
130509006081 2013-05-09 BIENNIAL STATEMENT 2013-04-01
110428000159 2011-04-28 CERTIFICATE OF INCORPORATION 2011-04-28

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Date of last update: 27 Mar 2025

Sources: New York Secretary of State