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  5. OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - NORTHDALE, LLC

OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - NORTHDALE, LLC - Florida Company Profile

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Company Details

Entity Name: OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - NORTHDALE, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Jan 2010 (16 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 27 Nov 2017 (8 years ago)
Document Number: L10000009182
FEI/EIN Number 271750663
Mail Address: 14004 Roosevelt Blvd, Suite 613, Clearwater, FL, 33762, US
Address: 3903 Northdale Blvd. Suite 111W, Tampa, FL, 33624, US
ZIP code: 33624
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
STEGEMAN WILLEM Manager 3903 NORTHDALE BLVD, TAMPA, FL, 33624
STEGEMAN WILLEM Agent 3903 NORTHDALE BLVD, TAMPA, FL, 33624

National Provider Identifier

NPI Number:
1093399347
Certification Date:
2023-11-06
Link:
View on NPI website

Authorized Person:

Name:
BETH ANN PATTERSON
Role:
PRACTICE ADMINISTRATOR
Phone:
7274755540

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 727-475-5540

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-10-16 3903 Northdale Blvd. Suite 111W, Tampa, FL 33624 -
CHANGE OF PRINCIPAL ADDRESS 2022-09-20 3903 Northdale Blvd. Suite 111W, Tampa, FL 33624 -
LC STMNT OF RA/RO CHG 2017-11-27 - -
REGISTERED AGENT ADDRESS CHANGED 2017-11-27 3903 NORTHDALE BLVD, STE 111W, TAMPA, FL 33624 -
LC AMENDMENT 2017-08-14 - -
REGISTERED AGENT NAME CHANGED 2017-08-14 STEGEMAN, WILLEM -
LC AMENDMENT 2012-07-02 - -

Documents

Name Date
ANNUAL REPORT 2024-02-01
ANNUAL REPORT 2023-01-18
ANNUAL REPORT 2022-01-20
ANNUAL REPORT 2021-01-10
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-01-14
CORLCRACHG 2017-11-27
LC Amendment 2017-08-14
ANNUAL REPORT 2017-01-10

USAspending Awards / Financial Assistance

Date:
2021-06-16
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
470000.00
Total Face Value Of Loan:
470000.00
Date:
2021-02-05
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
119387.50
Total Face Value Of Loan:
119387.50
Date:
2020-04-09
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
112700.00
Total Face Value Of Loan:
112700.00
Date:
2020-04-09
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
112700.00
Total Face Value Of Loan:
112700.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$112,700
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$112,700
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$113,746.72
Servicing Lender:
The Bank of Tampa
Use of Proceeds:
Payroll: $112,700
Jobs Reported:
12
Initial Approval Amount:
$119,387.5
Date Approved:
2021-02-05
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$119,387.5
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$120,051.49
Servicing Lender:
The Bank of Tampa
Use of Proceeds:
Payroll: $119,383.5
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Florida Department of State

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