| Entity Name: | PHYSICAL THERAPY WORKS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Jul 2006 (19 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L06000068527 |
| FEI/EIN Number | 205182655 |
| Address: | 13019 River Springs Way, Jacksonville, FL, 32224, US |
| Mail Address: | 13019 River Springs Way, Jacksonville, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518067644 | 2006-09-25 | 2014-03-17 | 100 EXECUTIVE WAY, SUITE 109, PONTE VEDRA BEACH, FL, 320822715, US | 100 EXECUTIVE WAY, SUITE 109, PONTE VEDRA BEACH, FL, 320822715, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 904-543-9011 |
Authorized person
| Name | AMBER KENNEY |
| Role | OWNER PHYSICAL THERAPIST |
| Phone | 9045439011 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 7044936 |
| State | FL |
| Issuer | MEDICARE RAILROAD |
| Number | P00382647 |
| State | FL |
| Issuer | BCBS |
| Number | Y924T |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KENNEY AMBER | Agent | 13019 River Springs Way, Jacksonville, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| KENNEY AMBER L | President | 13019 River Springs Way, Jacksonville, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-11 | 13019 River Springs Way, Jacksonville, FL 32224 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-11 | 13019 River Springs Way, Jacksonville, FL 32224 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-11 | 13019 River Springs Way, Jacksonville, FL 32224 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-01 | KENNEY, AMBER | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-11 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-07-24 |
| ANNUAL REPORT | 2014-04-21 |
| ANNUAL REPORT | 2013-04-10 |
| ANNUAL REPORT | 2012-04-24 |
| ANNUAL REPORT | 2011-04-08 |
| ANNUAL REPORT | 2010-05-27 |
| ANNUAL REPORT | 2009-03-23 |
| Reg. Agent Change | 2008-08-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
