| Entity Name: | REHABXPERIENCE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 22 Sep 2004 (20 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 01 Oct 2012 (12 years ago) |
| Document Number: | L04000069349 |
| FEI/EIN Number | 201779261 |
| Address: | 350 NW 70 AVE, PLANTATION, FL, 33317, US |
| Mail Address: | 350 NW 70 AVE, PLANTATION, FL, 33317, US |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922100767 | 2006-09-02 | 2017-10-05 | 350 NW 70TH AVE STE A, PLANTATION, FL, 333172349, US | 350 NW 70TH AVE STE A, PLANTATION, FL, 333172349, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 954-741-2221 |
| Fax | 9547412155 |
Authorized person
| Name | MR. OFER AMIT |
| Role | MANAGING MEMBER AND CEO |
| Phone | 9547412221 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT 0006687 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y080Q |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PHYSICALONE- 1401(K) | 2023 | 201779261 | 2024-05-27 | REHABXPERIENCE LLC | 20 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-05-27 |
| Name of individual signing | COLETTE AMIT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9547412221 |
| Plan sponsor’s address | 350 NW 70 AVE., SUITE A, PLANTATION, FL, 333172349 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-19 |
| Name of individual signing | COLETTE AMIT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9547412221 |
| Plan sponsor’s address | 350 NW 70 AVE., SUITE A, PLANTATION, FL, 333172349 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-08 |
| Name of individual signing | COLETTE AMIT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 9547412221 |
| Plan sponsor’s address | 350 NW 70 AVE., SUITE A, PLANTATION, FL, 333172349 |
Signature of
| Role | Plan administrator |
| Date | 2021-06-19 |
| Name of individual signing | COLETTE AMIT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| AMIT OFER M | Agent | 350 NW 70 AVE, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| AMIT OFER | Manager | 350 NW 70 AVE, PLANTATION, FL, 33317 |
| AMIT COLETTE | Manager | 350 NW 70 AVE, PLANTATION, FL, 33317 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000026033 | PHYSICALONE | ACTIVE | 2023-02-24 | 2028-12-31 | No data | 350 NW 70 AVE., SUITE A, PLANTATION, FL, 33317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-11 | 350 NW 70 AVE, SUITE A, PLANTATION, FL 33317 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-06-21 | 350 NW 70 AVE, SUITE A, PLANTATION, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2017-06-21 | 350 NW 70 AVE, SUITE A, PLANTATION, FL 33317 | No data |
| REINSTATEMENT | 2012-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-06 | AMIT, OFER MR. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-11 |
| ANNUAL REPORT | 2023-02-24 |
| ANNUAL REPORT | 2022-03-01 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-02-25 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-02-20 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
