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JAM PHYSICAL THERAPY, P.C.

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Company Details

Name: JAM PHYSICAL THERAPY, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 Mar 2019 (6 years ago)
Entity Number: 5517729
ZIP code: 11704
County: Suffolk
Place of Formation: New York
Address: 1400 AMERICA AVE., WEST BABYLON, NY, United States, 11704

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Agent

Name Role Address
LAW OFFICES OF GABRIEL & MOROFF, P.C. Agent 2 LINCOLN AVENUE, SUITE 302, ROCKVILLE CENTRE, NY, 11570

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 1400 AMERICA AVE., WEST BABYLON, NY, United States, 11704

National Provider Identifier

NPI Number:
1073111852
Certification Date:
2020-10-14

Authorized Person:

Name:
WINDA DICKEY
Role:
MEDICAL BILLER
Phone:

Taxonomy:

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

Contacts:

Fax:
3472963235

History

Start date End date Type Value
2023-04-10 2024-10-02 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-03-31 2023-04-10 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2023-01-05 2023-03-31 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2019-03-20 2023-01-05 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
210602000263 2021-06-02 CERTIFICATE OF CHANGE 2021-06-02
190320000742 2019-03-20 CERTIFICATE OF INCORPORATION 2019-03-20

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Date of last update: 23 Mar 2025

Sources: New York Secretary of State