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GREEN PHYSICAL THERAPY P.C.

Company Details

Name: GREEN PHYSICAL THERAPY P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Jun 2015 (10 years ago)
Entity Number: 4782165
ZIP code: 11416
County: Queens
Place of Formation: New York
Address: 101-11 101ST AVENUE, OZONE PARK, NY, United States, 11416
Principal Address: 101-11 101ST AVE, OZONE PARK, NY, United States, 11416

Contact Details

Phone +1 718-845-8325

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
GREEN PHYSICAL THERAPY P.C. DOS Process Agent 101-11 101ST AVENUE, OZONE PARK, NY, United States, 11416

Chief Executive Officer

Name Role Address
YOUNG MI LEE Chief Executive Officer 101-11 101ST AVE, OZONE PARK, NY, United States, 11416

National Provider Identifier

NPI Number:
1073996534
Certification Date:
2024-12-06

Authorized Person:

Name:
YOUNG MI LEE
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
8664636125

History

Start date End date Type Value
2023-06-15 2024-10-07 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-06-15 2023-06-15 Address 101-11 101ST AVE, OZONE PARK, NY, 11416, USA (Type of address: Chief Executive Officer)
2021-06-02 2023-06-15 Address 101-11 101ST AVENUE, OZONE PARK, NY, 11416, USA (Type of address: Service of Process)
2020-03-31 2023-06-15 Address 101-11 101ST AVE, OZONE PARK, NY, 11416, USA (Type of address: Chief Executive Officer)
2020-03-31 2021-06-02 Address 101-11 101ST AVENUE, OZONE PARK, NY, 11416, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230615003163 2023-06-15 BIENNIAL STATEMENT 2023-06-01
210602060248 2021-06-02 BIENNIAL STATEMENT 2021-06-01
200331060037 2020-03-31 BIENNIAL STATEMENT 2019-06-01
150629001080 2015-06-29 CERTIFICATE OF INCORPORATION 2015-06-29

USAspending Awards / Financial Assistance

Date:
2020-06-10
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
24000.00
Total Face Value Of Loan:
24000.00
Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Date of last update: 25 Mar 2025

Sources: New York Secretary of State