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  5. BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL

BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL

Company Details

Entity Name: BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Apr 2006 (19 years ago)
Document Number: L06000035753
FEI/EIN Number 204642776
Address: 3920 BEE RIDGE ROAD, BLDG E, UNIT G, SARASOTA, FL, 34233, US
Mail Address: PO BOX 25066, SARASOTA, FL, 34277, US
ZIP code: 34233
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1265474829 2006-06-11 2023-07-25 PO BOX 25066, SARASOTA, FL, 342772066, US 3920 BEE RIDGE RD, BLDG E, UNIT G, SARASOTA, FL, 342331207, US

Contacts
Phone +1 941-925-2700
Fax 9419257744

Authorized person
Name TIMOTHY ERIC BURNELL
Role PHYSICAL THERAPIST
Phone 9419252700

Taxonomy
Taxonomy Code 225100000X - Physical Therapist
License Number PT 22415
State FL
Is Primary Yes

Other Provider Identifiers
Issuer NPI FOR INDIVIDUAL PT
Number 1922055342
State FL
Issuer MEDICAID
Number 009615900
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BACK IN MOTION 401(K) PROFIT SHARING PLAN 2023 204642776 2024-07-23 BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 9419252700
Plan sponsor’s address 3920 BEE RIDGE RD., BLDG. E, UNIT G, SARASOTA, FL, 34233
BACK IN MOTION 401(K) PROFIT SHARING PLAN 2022 204642776 2023-10-10 BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 9419252700
Plan sponsor’s address 3920 BEE RIDGE RD., BLDG. E, UNIT G, SARASOTA, FL, 34233
BACK IN MOTION 401(K) PROFIT SHARING PLAN 2021 204642776 2022-08-19 BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 9419252700
Plan sponsor’s address 3920 BEE RIDGE RD., BLDG. E, UNIT G, SARASOTA, FL, 34233
BACK IN MOTION 401(K) PROFIT SHARING PLAN 2020 204642776 2021-10-11 BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 9419252700
Plan sponsor’s address 3920 BEE RIDGE RD., BLDG. E, UNIT G, SARASOTA, FL, 34233
BACK IN MOTION 401(K) PROFIT SHARING PLAN 2019 204642776 2020-07-15 BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 9419252700
Plan sponsor’s address 3920 BEE RIDGE RD., BLDG. E, UNIT G, SARASOTA, FL, 34233

Signature of
Role Plan administrator
Date 2020-07-15
Name of individual signing TIMOTHY BURNELL
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-15
Name of individual signing TIMOTHY BURNELL
Valid signature Filed with authorized/valid electronic signature
BACK IN MOTION 401(K) PROFIT SHARING PLAN 2018 204642776 2019-10-11 BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 9419252700
Plan sponsor’s address 3920 BEE RIDGE RD., BLDG. E, UNIT G, SARASOTA, FL, 34233
BACK IN MOTION 401(K) PROFIT SHARING PLAN 2017 204642776 2018-05-14 BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 9419252700
Plan sponsor’s address 3920 BEE RIDGE RD., BLDG. E, UNIT G, SARASOTA, FL, 34233
BACK IN MOTION 401(K) PROFIT SHARING PLAN 2016 204642776 2017-09-22 BACK IN MOTION, SARASOTA PHYSICAL THERAPY, PL 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2016-01-01
Business code 621340
Sponsor’s telephone number 9419252700
Plan sponsor’s address 3920 BEE RIDGE RD., BLDG. E, UNIT G, SARASOTA, FL, 34233

Agent

Name Role
CROSS STREET CORPORATE SERVICES, LLC Agent

Manager

Name Role Address
BURNELL TIMOTHY E Manager 3920 BEE RIDGE ROAD, BLDG E, UNIT G, SARASOTA, FL, 34233

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2023-10-30 50 CENTRAL AVENUE,, 8TH FLOOR,, SARASOTA, FL 34236 No data
REGISTERED AGENT NAME CHANGED 2013-05-28 CROSS STREET CORPORATE SERVICES, LLC No data
CHANGE OF PRINCIPAL ADDRESS 2009-04-27 3920 BEE RIDGE ROAD, BLDG E, UNIT G, SARASOTA, FL 34233 No data
CHANGE OF MAILING ADDRESS 2009-04-27 3920 BEE RIDGE ROAD, BLDG E, UNIT G, SARASOTA, FL 34233 No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-02-28
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-03-17
ANNUAL REPORT 2018-04-11
ANNUAL REPORT 2017-03-03
ANNUAL REPORT 2016-04-13
ANNUAL REPORT 2015-03-17

Related by officers

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Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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