| Entity Name: | PROFESSIONAL PHYSICAL THERAPY AND ASSOCIATES LTD. CO. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PROFESSIONAL PHYSICAL THERAPY AND ASSOCIATES LTD. CO. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 11 Dec 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 08 Nov 2024 (6 months ago) |
| Document Number: | L00000015467 |
| FEI/EIN Number |
593691843
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1316 SOUTH RIDGEWOOD AVE., EDGEWATER, FL, 32132, US |
| Mail Address: | 1316 South Ridgewood Ave., Edgewater, FL, 32132, US |
| ZIP code: | 32132 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255415550 | 2006-10-24 | 2013-09-23 | 1316 S. RIDGEWOOD AVENUE, SUITE 1, EDGEWATER, FL, 32132, US | 1316 S. RIDGEWOOD AVENUE, SUITE 1, EDGEWATER, FL, 32132, US | |||||||||||||||||||||||||||
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| Phone | +1 386-423-0100 |
| Fax | 3864288631 |
Authorized person
| Name | JEFFREY R. BERNER |
| Role | OWNER, C.E.O. |
| Phone | 3864230100 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 887120500 |
| State | FL |
| Issuer | BCBS |
| Number | Y921B |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SHERRI BERNER | Officer | 2607. Hoptree Ln., Edgewater, FL, 32141 |
| JEFFREY RAY BERNER | Manager | 2607 Hoptree, Edgewater, FL, 32141 |
| JEFFREY R BERNER | Agent | 2607 Hoptree Ln., Edgewater, FL, 32141 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09000101378 | VITAL HEALTH AND FITNESS CENTER | EXPIRED | 2009-04-27 | 2014-12-31 | - | 2568 S. RIDGEWOOD AVE, SUITE #1, EDGEWATER, FL, 32141 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-11-08 | - | - |
| REGISTERED AGENT NAME CHANGED | 2024-11-08 | JEFFREY R BERNER | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-02 | 2607 Hoptree Ln., Edgewater, FL 32141 | - |
| CHANGE OF MAILING ADDRESS | 2014-04-30 | 1316 SOUTH RIDGEWOOD AVE., EDGEWATER, FL 32132 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2013-03-27 | 1316 SOUTH RIDGEWOOD AVE., EDGEWATER, FL 32132 | - |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-08 |
| ANNUAL REPORT | 2023-04-02 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-06-15 |
| ANNUAL REPORT | 2019-05-16 |
| ANNUAL REPORT | 2018-04-25 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-30 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5782157305 | 2020-04-30 | 0491 | PPP | 1316 S Ridgewood Ave, Edgewater, FL, 32132-2718 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
