| Entity Name: | ONSHORE THERAPY, PLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Nov 2006 (18 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 28 Apr 2021 (4 years ago) |
| Document Number: | L06000109705 |
| FEI/EIN Number | 900398038 |
| Address: | 92410 OVERSEAS HIGHWAY, SUITE 6, TAVERNIER, FL, 33070, US |
| Mail Address: | 92410 OVERSEAS HIGHWAY, SUITE 6, TAVERNIER, FL, 33070, US |
| ZIP code: | 33070 |
| County: | Monroe |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659534105 | 2008-07-04 | 2018-08-29 | 92410 OVERSEAS HIGHWAY, SUITE 6, TAVERNIER, FL, 330702636, US | 92410 OVERSEAS HIGHWAY, SUITE 6, TAVERNIER, FL, 330702636, US | |||||||||||||||||||||||||
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| Phone | +1 305-852-8600 |
| Fax | 3058528300 |
Authorized person
| Name | MRS. LEANN DAWN CROCKETT |
| Role | OWNER/PHYSICAL THERAPIST |
| Phone | 3058528600 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT21750 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001268400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CROCKETT LEANN D | Agent | 92410 OVERSEAS HIGHWAY, TAVERNIER, FL, 33070 |
| Name | Role | Address |
|---|---|---|
| CROCKETT LEANN D | Managing Member | 92410 OVERSEAS HIGHWAY SUITE 6, TAVERNIER, FL, 33070 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000076583 | TOP FORM | ACTIVE | 2023-06-26 | 2028-12-31 | No data | 92410 OVERSEAS HWY, STE. 6, TAVERNIER, FL, 33070 |
| G21000051156 | TOP FORM SOLUTIONS | ACTIVE | 2021-04-14 | 2026-12-31 | No data | 92410 OVERSEAS HWY, SUITE 6, TAVERNIER, FL, 33070 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-04-28 | No data | No data |
| LC AMENDMENT | 2018-03-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-03-21 | 92410 OVERSEAS HIGHWAY, SUITE 6, TAVERNIER, FL 33070 | No data |
| CHANGE OF MAILING ADDRESS | 2011-03-21 | 92410 OVERSEAS HIGHWAY, SUITE 6, TAVERNIER, FL 33070 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-03-21 | 92410 OVERSEAS HIGHWAY, SUITE 6, TAVERNIER, FL 33070 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-03-15 |
| ANNUAL REPORT | 2022-01-21 |
| LC Amendment | 2021-04-28 |
| ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2020-06-10 |
| ANNUAL REPORT | 2019-04-02 |
| LC Amendment | 2018-03-01 |
| ANNUAL REPORT | 2018-01-02 |
| ANNUAL REPORT | 2017-01-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
