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EVERGREEN PHYSICAL THERAPY P.C.

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Company Details

Name: EVERGREEN PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 May 2012 (13 years ago)
Entity Number: 4246636
ZIP code: 10033
County: Westchester
Place of Formation: New York
Address: 701 W 177TH ST, SUITE 1, NEW YORK, NY, United States, 10033

Contact Details

Phone +1 646-360-3879

Phone +1 347-720-9243

Phone +1 917-409-5159

Shares Details

Shares issued 10000

Share Par Value 0.01

Type PAR VALUE

Chief Executive Officer

Name Role Address
NESTOR A. LAYSA Chief Executive Officer 701 W 177TH ST, SUITE 1, NEW YORK, NY, United States, 10033

DOS Process Agent

Name Role Address
NESTOR A. LAYSA DOS Process Agent 701 W 177TH ST, SUITE 1, NEW YORK, NY, United States, 10033

National Provider Identifier

NPI Number:
1699030718

Authorized Person:

Name:
NESTOR LAYSA
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2012-05-16 2015-03-31 Address 7014 13TH AVENUE, SUITE 202, BROOKLYN, NY, 11228, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
150331006230 2015-03-31 BIENNIAL STATEMENT 2014-05-01
120516001246 2012-05-16 CERTIFICATE OF INCORPORATION 2012-05-16

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$53,320
Date Approved:
2021-02-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$53,320
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$53,556.98
Servicing Lender:
Itria Ventures LLC
Use of Proceeds:
Payroll: $53,318
Utilities: $1

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State