| Entity Name: | ADULTS TO PEDIATRICS THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Mar 2005 (20 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 12 Feb 2007 (18 years ago) |
| Document Number: | L05000028020 |
| FEI/EIN Number | 731732952 |
| Address: | 14201 West Sunrise Blvd.,, SUNRISE, FL, 33323, US |
| Mail Address: | 14201 West Sunrise Blvd.,, SUNRISE, FL, 33323, US |
| ZIP code: | 33323 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114151362 | 2009-05-02 | 2020-08-11 | 14201 W SUNRISE BLVD, SUITE 107, SUNRISE, FL, 333233207, US | 14201 W SUNRISE BLVD, SUITE 107, SUNRISE, FL, 333233207, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 954-756-2818 |
| Fax | 9545141126 |
Authorized person
| Name | AILEEN GRULLON-COLON |
| Role | PRESIDENT/CLINICAL DIRECTOR |
| Phone | 9547562818 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA7777 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000828300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GRULLON-COLON AILEEN | Agent | 4967 Nw 105th Dr, Coral Springs, FL, 330761764 |
| Name | Role | Address |
|---|---|---|
| colon aileen g | Managing Member | 4967 Nw 105th Dr, Coral Springs, FL, 330761764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-11 | 4967 Nw 105th Dr, Coral Springs, FL 33076-1764 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-06 | 14201 West Sunrise Blvd.,, SUITE #107, SUNRISE, FL 33323 | No data |
| CHANGE OF MAILING ADDRESS | 2016-04-06 | 14201 West Sunrise Blvd.,, SUITE #107, SUNRISE, FL 33323 | No data |
| LC NAME CHANGE | 2007-02-12 | ADULTS TO PEDIATRICS THERAPY LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-10 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-03-06 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-02-05 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
