| Entity Name: | TEAM THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 10 Apr 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | L07000038595 |
| FEI/EIN Number | 208823464 |
| Address: | 9523 PARKER PLACE DR, NAVARRE, FL, 32566, US |
| Mail Address: | 9523 PARKER PLACE DR, NAVARRE, FL, 32566, US |
| ZIP code: | 32566 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841432853 | 2009-04-06 | 2013-11-12 | 9523 PARKER PLACE DR, NAVARRE, FL, 325662874, US | 9523 PARKER PLACE DR, NAVARRE, FL, 325662874, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-865-3981 |
| Fax | 8666756298 |
Authorized person
| Name | NIKKI MARTIN |
| Role | OWNER MANAGER MEMBER |
| Phone | 8508653981 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 174400000X - Specialist |
| Is Primary | No |
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 2355S0801X - Speech-Language Assistant |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001012700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 000961700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTIN NIKKI L | Agent | 9523 PARKER PLACE DR, NAVARRE, FL, 32566 |
| Name | Role | Address |
|---|---|---|
| MARTIN NIKKI | Managing Member | 9523 PARKER PLACE DR, NAVARRE, FL, 32566 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09054900358 | BRIGHT AND EARLY THERAPY SERVICES | EXPIRED | 2009-02-22 | 2014-12-31 | No data | 33279 PENNSYLVANIA AVENUE, RIDGE MANOR, FL, 33523 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| LC AMENDMENT AND NAME CHANGE | 2013-10-28 | TEAM THERAPY, LLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-10-28 | 9523 PARKER PLACE DR, NAVARRE, FL 32566 | No data |
| CHANGE OF MAILING ADDRESS | 2013-10-28 | 9523 PARKER PLACE DR, NAVARRE, FL 32566 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-10-28 | 9523 PARKER PLACE DR, NAVARRE, FL 32566 | No data |
| LC NAME CHANGE | 2010-05-10 | BRIGHT AND EARLY THERAPY, LLC | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-20 | MARTIN, NIKKI L | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-20 |
| LC Amendment and Name Change | 2013-10-28 |
| ANNUAL REPORT | 2013-04-21 |
| ANNUAL REPORT | 2012-04-17 |
| ANNUAL REPORT | 2011-04-21 |
| LC Name Change | 2010-05-10 |
| Reg. Agent Resignation | 2010-04-29 |
| ANNUAL REPORT | 2010-04-20 |
| ANNUAL REPORT | 2009-04-22 |
| ANNUAL REPORT | 2008-05-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
