| Name: | REACH Pediatrics Therapy Services PC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 13 Aug 1990 (34 years ago) |
| Entity Number: | 000-138-802 |
| Register Number: | 000138802 |
| Historical Names: |
Robin Irwin Physical Therapy Services, P.C.
|
| County: | Morgan |
| Place of Formation: | Morgan County |
| Registered Office Street Address: | P O BOX 2132DECATUR, AL 35602 |
| Registered Office Street Address ZIP Code: | 35602 |
| Authorized Capital: | $500 |
Activities
PHYSICAL THERAPY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346469004 | 2007-04-24 | 2023-11-16 | 1931 CENTRAL PKWY SW, SUITE S, DECATUR, AL, 35601, US | 1931 CENTRAL PKWY SW, SUITE S, DECATUR, AL, 35601, US | |||||||||||||||||||||||||
|
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| Phone | +1 256-309-0454 |
| Fax | 2563090422 |
Authorized person
| Name | MRS. SABRINA M MODI |
| Role | CO-OWNER |
| Phone | 2562890882 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PTH1007 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529501390 |
| State | AL |
| Name | Role |
|---|---|
| IRWIN, ROBIN | Agent |
| Name | Role | Address |
|---|---|---|
| ASHLEY CANCER | Director | 1931 CENTRAL PARKWAY SUITE SDECATUR, AL 35601 |
| SABRINA MANGIERI-MODI | Director | No data |
| Name | Role |
|---|---|
| IRWIN, ROBIN | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2022-05-10 | Name Change | Robin Irwin Physical Therapy Services, P.C. | REACH Pediatrics Therapy Services PC |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
