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Nesin Therapy Services, P.C.

Details

Name: Nesin Therapy Services, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 24 Mar 1987 (38 years ago)
Entity Number: 000-116-425
Register Number: 000116425
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 1014 PRINCETON DRIVEMADISON, AL 35758
Registered Office Street Address ZIP Code: 35758
Authorized Capital: $1,000

Activities PHYSICAL THERAPY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417021320 2006-11-20 2018-03-27 12181 COUNTY LINE RD STE 150, MADISON, AL, 357587712, US 12181 COUNTY LINE RD STE 150, MADISON, AL, 357587712, US

Contacts

Phone +1 256-461-9654
Fax 2564619728

Authorized person

Name DR. JANINE NESIN
Role BUSINESS ADMINISTRATOR
Phone 2564619654

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer MEDICARE RR
Number CJ5487
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NESIN THERAPY SERVICES 401(K) PLAN 2020 630949799 2021-10-11 NESIN THERAPY SERVICES, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 621340
Sponsor’s telephone number 2567131872
Plan sponsor’s address 1267 ENTERPRISE WAY SUITE B, HUNTSVILLE, AL, 35806

Signature of

Role Plan administrator
Date 2021-10-11
Name of individual signing MICHELLE NESIN
NESIN THERAPY SERVICES 401(K) PLAN 2019 630949799 2020-10-13 NESIN THERAPY SERVICES, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 621340
Sponsor’s telephone number 2567131872
Plan sponsor’s address 1267 ENTERPRISE WAY SUITE B, HUNTSVILLE, AL, 35806

Signature of

Role Plan administrator
Date 2020-10-13
Name of individual signing MICHELLE HUNT
NESIN THERAPY SERVICES 401(K) PLAN 2018 630949799 2019-07-12 NESIN THERAPY SERVICES, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1992-07-01
Business code 621340
Sponsor’s telephone number 2567131872
Plan sponsor’s address 1267 ENTERPRISE WAY SUITE B, HUNTSVILLE, AL, 35806

Signature of

Role Plan administrator
Date 2019-07-12
Name of individual signing MICHELLE HUNT

Agent

Name Role
NESIN, JANET B Agent

Incorporator

Name Role
NESIN, JANET B Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State