| Entity Name: | CARLYLE THERAPY ASSOCIATES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Feb 2009 (16 years ago) |
| Document Number: | L09000013557 |
| FEI/EIN Number | 264247358 |
| Address: | 6685 Forest Hill Blvd, Greenacres, FL, 33413, US |
| Mail Address: | 242 Grenada Dr, Jupiter, FL, 33458, US |
| ZIP code: | 33413 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467786475 | 2009-09-23 | 2014-02-19 | 2111 SPRING CT, PALM BEACH GARDENS, FL, 334101297, US | 2111 SPRING CT, PALM BEACH GARDENS, FL, 334101297, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-707-9640 |
| Fax | 5615574415 |
Authorized person
| Name | LISA CARLYLE |
| Role | PRESIDENT |
| Phone | 5617079640 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | Yes |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001477200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CARLYLE LISA | Agent | 6685 Forest Hill Blvd, Greenacres, FL, 33413 |
| Name | Role | Address |
|---|---|---|
| CARLYLE LISA | Managing Member | 6685 Forest Hill Blvd, Greenacres, FL, 33413 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-12-12 | 6685 Forest Hill Blvd, Greenacres, FL 33413 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-11-21 | 6685 Forest Hill Blvd, Greenacres, FL 33413 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-11-21 | 6685 Forest Hill Blvd, Suite 204, Greenacres, FL 33413 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| AMENDED ANNUAL REPORT | 2023-11-21 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-24 |
| ANNUAL REPORT | 2020-04-04 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-05 |
| ANNUAL REPORT | 2016-03-13 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
