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JC GREEN PHYSICAL THERAPY, PLLC

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Company Details

Name: JC GREEN PHYSICAL THERAPY, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 01 Apr 2022 (3 years ago)
Entity Number: 6459373
ZIP code: 10001
County: New York
Place of Formation: New York
Address: 350 7TH AVENUE, SUITE 500, NEW YORK, NY, United States, 10001

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 350 7TH AVENUE, SUITE 500, NEW YORK, NY, United States, 10001

National Provider Identifier

NPI Number:
1508564550
Certification Date:
2023-06-07

Authorized Person:

Name:
JESSE GREEN, PT, DPT, LMT, CSCS
Role:
OWNER/EMPLOYEE
Phone:

Taxonomy:

Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220415001297 2022-04-01 ARTICLES OF ORGANIZATION 2022-04-01

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State