| Entity Name: | C.H.O.O.S.E. PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Jun 2003 (22 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 06 Oct 2005 (19 years ago) |
| Document Number: | L03000020354 |
| FEI/EIN Number | 770601955 |
| Address: | 29605 US highway 19 N, Clearwater, FL, 33761, US |
| Mail Address: | 29605 US Hwy 19 N ,, Clearwater, FL, 33761, US |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588859409 | 2007-09-13 | 2021-11-19 | 29605 US HIGHWAY 19 N., CRITERION CENTER SUITE 150, CLEARWATER, FL, 337613142, US | 29605 US HIGHWAY 19 N STE 150, CLEARWATER, FL, 337611538, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 727-797-7600 |
| Fax | 7277977655 |
Authorized person
| Name | MRS. AMY W WELSH |
| Role | MANAGER |
| Phone | 7277977600 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MAIL HANDLERS BENEFIT PLAN |
| Number | 1388219 |
| State | FL |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y931W |
| State | FL |
| Issuer | UNITED HEALTH CARE |
| Number | 693101 |
| State | FL |
| Issuer | RAIL ROAD MEDICARE |
| Number | DF8003 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| WELSH AMY W | Agent | 29605 US highway 19 N, Clearwater, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| WELSH AMY W | Manager | 29605 US Hwy 19 N, Clearwater, FL, 33761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-03 | 29605 US highway 19 N, Suite 150, Clearwater, FL 33761 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-03 | 29605 US highway 19 N, Suite 150, Clearwater, FL 33761 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-03 | 29605 US highway 19 N, Suite 150, Clearwater, FL 33761 | No data |
| AMENDMENT AND NAME CHANGE | 2005-10-06 | C.H.O.O.S.E. PHYSICAL THERAPY LLC | No data |
| NAME CHANGE AMENDMENT | 2005-03-18 | C.H.O.O.S.E. PHYSICAL THERAPHY LLC | No data |
| CANCEL ADM DISS/REV | 2005-03-16 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-03-05 |
| ANNUAL REPORT | 2021-01-03 |
| ANNUAL REPORT | 2020-01-30 |
| ANNUAL REPORT | 2019-02-16 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-02-25 |
| ANNUAL REPORT | 2015-02-14 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
