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JADE PHYSICAL THERAPY P.C.

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Company Details

Name: JADE PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Oct 2012 (13 years ago)
Entity Number: 4307791
ZIP code: 11726
County: Suffolk
Place of Formation: New York
Address: 557 OAK STREET, COPIAGUE, NY, United States, 11726

Contact Details

Phone +1 631-464-4700

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
MARICEL DE VERA Chief Executive Officer 557 OAK STREET, COPIAGUE, NY, United States, 11726

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 557 OAK STREET, COPIAGUE, NY, United States, 11726

National Provider Identifier

NPI Number:
1154666972

Authorized Person:

Name:
MARICEL DE VERA
Role:
PT
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-06-15 2024-06-03 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2012-10-12 2023-06-15 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
181010006492 2018-10-10 BIENNIAL STATEMENT 2018-10-01
161012006103 2016-10-12 BIENNIAL STATEMENT 2016-10-01
141021006180 2014-10-21 BIENNIAL STATEMENT 2014-10-01
121012001034 2012-10-12 CERTIFICATE OF INCORPORATION 2012-10-12

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Date of last update: 26 Mar 2025

Sources: New York Secretary of State