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OPTIMAL HEALTH PHYSICAL THERAPY PLLC

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Company Details

Name: OPTIMAL HEALTH PHYSICAL THERAPY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Jun 2017 (8 years ago)
Entity Number: 5151423
ZIP code: 11377
County: Queens
Place of Formation: New York
Address: 57-18 WOODSIDE AVE, UNIT 2101, WOODSIDE, NY, United States, 11377

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 57-18 WOODSIDE AVE, UNIT 2101, WOODSIDE, NY, United States, 11377

National Provider Identifier

NPI Number:
1225675010

Authorized Person:

Name:
BARBRA JOANNE FLORES MANGIBIN
Role:
DPT/PRESIDENT
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2019-10-21 2025-04-23 Address 175-41 HILLSIDE AVE., JAMAICA, NY, 11432, USA (Type of address: Service of Process)
2018-05-15 2019-10-21 Address 3975 56TH ST., APT. 2H, WOODSIDE, NY, 11377, USA (Type of address: Service of Process)
2017-06-09 2018-05-15 Address 4301 46TH ST., APT. 1J, SUNNYSIDE, NY, 11104, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250423002944 2025-04-23 BIENNIAL STATEMENT 2025-04-23
221018002122 2022-10-18 BIENNIAL STATEMENT 2021-06-01
191021000103 2019-10-21 CERTIFICATE OF CHANGE 2019-10-21
190821000654 2019-08-21 CERTIFICATE OF CORRECTION 2019-08-21
180515000315 2018-05-15 CERTIFICATE OF CHANGE 2018-05-15

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Date of last update: 24 Mar 2025

Sources: New York Secretary of State