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SPROUT PHYSICAL THERAPY PLLC

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Company Details

Name: SPROUT PHYSICAL THERAPY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 05 Nov 2024 (8 months ago)
Entity Number: 7458835
ZIP code: 14559
County: Monroe
Place of Formation: New York
Address: 45 tellidora trail, SPENCERPORT, NY, United States, 14559

DOS Process Agent

Name Role Address
the llc DOS Process Agent 45 tellidora trail, SPENCERPORT, NY, United States, 14559

National Provider Identifier

NPI Number:
1225825193
Certification Date:
2025-04-23

Authorized Person:

Name:
MARIETTA JOANNE PHILLIPS
Role:
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:

History

Start date End date Type Value
2024-11-06 2025-01-09 Address 45 tellidora trail, SPENCERPORT, NY, 14559, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250109003013 2025-01-09 CERTIFICATE OF PUBLICATION 2025-01-09
241106003850 2024-11-05 ARTICLES OF ORGANIZATION 2024-11-05

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Date of last update: 19 Mar 2025

Sources: New York Secretary of State