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GREEN ROOM PHYSICAL THERAPY PLLC

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Company Details

Name: GREEN ROOM PHYSICAL THERAPY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 28 Feb 2017 (8 years ago)
Entity Number: 5093521
ZIP code: 12169
County: Rensselaer
Place of Formation: New York
Address: 88 FIRETOWER ROAD, STEPHENTOWN, NY, United States, 12169

Contact Details

Phone +1 518-280-2185

Phone +1 518-326-3771

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 88 FIRETOWER ROAD, STEPHENTOWN, NY, United States, 12169

National Provider Identifier

NPI Number:
1083154132
Certification Date:
2025-04-07

Authorized Person:

Name:
DR. ASHLEY BERTORELLI
Role:
OWNER/DOCTOR OF PHYSICAL THERAPY
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5187761070

Filings

Filing Number Date Filed Type Effective Date
200130000591 2020-01-30 CERTIFICATE OF AMENDMENT 2020-01-30
170228000872 2017-02-28 ARTICLES OF ORGANIZATION 2017-02-28

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$36,102
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$36,102
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$36,488.74
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $36,102

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State