| Entity Name: | COASTAL PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
COASTAL PHYSICAL THERAPY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 08 Dec 2008 (16 years ago) |
| Date of dissolution: | 14 Jan 2014 (11 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Jan 2014 (11 years ago) |
| Document Number: | L08000111850 |
| FEI/EIN Number |
800313724
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 15101 SHELL POINT BOULEVARD, FORT MYERS, FL, 33908 |
| Mail Address: | PO BOX 62095, FORT MYERS, FL, 33906 |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275768194 | 2009-05-20 | 2010-09-16 | PO BOX 62095, FORT MYERS, FL, 339062095, US | 18990 PERSIMMON RIDGE RD, ALVA, FL, 339203367, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-681-0278 |
| Fax | 2392360217 |
Authorized person
| Name | VANESSA RACHEL MARTIN |
| Role | PRESIDENT |
| Phone | 19416810278 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT23483 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PTAN |
| Number | CM700A |
| State | FL |
| Issuer | CCN |
| Number | 920922584420-002 |
| State | FL |
| Issuer | MEDICARE NUMBER |
| Number | AN9692Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MARTIN VANESSA R | Managing Member | PO BOX 62095, FORT MYERS, FL, 33906 |
| MARTIN JONATHAN | Managing Member | PO BOX 62095, FORT MYERS, FL, 33906 |
| MARTIN JONATHAN | Agent | 2000 Main Street, Fort Myers, FL, 33901 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G08344900104 | COASTAL PHYSICAL THERAPY, LLC | EXPIRED | 2008-12-08 | 2013-12-31 | - | 17161 PALM BEACH BLVD., ALVA, FL, 33920 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2014-01-14 | - | - |
| REGISTERED AGENT NAME CHANGED | 2013-05-01 | MARTIN, JONATHAN | - |
| REGISTERED AGENT ADDRESS CHANGED | 2013-05-01 | 2000 Main Street, Fort Myers, FL 33901 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2012-04-10 | 15101 SHELL POINT BOULEVARD, FORT MYERS, FL 33908 | - |
| CHANGE OF MAILING ADDRESS | 2011-04-19 | 15101 SHELL POINT BOULEVARD, FORT MYERS, FL 33908 | - |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2014-01-14 |
| ANNUAL REPORT | 2013-05-01 |
| ANNUAL REPORT | 2012-04-10 |
| ANNUAL REPORT | 2011-04-19 |
| ANNUAL REPORT | 2010-02-26 |
| ANNUAL REPORT | 2009-04-12 |
| Florida Limited Liability | 2008-12-08 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
