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FULL SPECTRUM REHABILITATION AND WELLNESS, LLC

Company Details

Name: FULL SPECTRUM REHABILITATION AND WELLNESS, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 06 Oct 2015 (10 years ago)
Entity Number: 4830013
ZIP code: 14850
County: Tompkins
Place of Formation: New York
Address: 96 GUNDERMAN RD., ITHACA, NY, United States, 14850

Agent

Name Role Address
REBECCA L. NORMAN Agent 303 GORGE RD., ITHACA, NY, 14850

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 96 GUNDERMAN RD., ITHACA, NY, United States, 14850

National Provider Identifier

NPI Number:
1508407768
Certification Date:
2020-07-31

Authorized Person:

Name:
REBECCA L FISHER
Role:
OCCUPATIONAL THERAPIST/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Fax:
6074630602

History

Start date End date Type Value
2021-02-17 2023-10-29 Address 96 GUNDERMAN RD., ITHACA, NY, 14850, USA (Type of address: Service of Process)
2019-10-24 2023-10-29 Address 303 GORGE RD., ITHACA, NY, 14850, USA (Type of address: Registered Agent)
2019-10-24 2021-02-17 Address 840 HANSHAW RD, SUITE 4, ITHACA, NY, 14850, USA (Type of address: Service of Process)
2015-10-06 2019-10-24 Address 40 CURTIS ROAD, ITHACA, NY, 14850, USA (Type of address: Registered Agent)
2015-10-06 2019-10-24 Address 40 CURTIS ROAD, ITHACA, NY, 14850, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231029000068 2023-10-29 BIENNIAL STATEMENT 2023-10-01
220626000425 2022-06-26 BIENNIAL STATEMENT 2021-10-01
210217000458 2021-02-17 CERTIFICATE OF CHANGE 2021-02-17
200110060025 2020-01-10 BIENNIAL STATEMENT 2019-10-01
191024000207 2019-10-24 CERTIFICATE OF CHANGE 2019-10-24

Date of last update: 25 Mar 2025

Sources: New York Secretary of State