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  5. OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC

OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC

Company Details

Entity Name: OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Feb 2010 (15 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 06 Dec 2011 (13 years ago)
Document Number: L10000022074
FEI/EIN Number 272012061
Mail Address: 14004 Roosevelt Blvd, Suite 613, Clearwater, FL, 33762, US
Address: 1501 W. Cleveland St. Suite 220, TAMPA, FL, 33606, US
ZIP code: 33606
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528381621 2010-03-04 2010-09-07 6023 HAMMOCK WOODS DR, ODESSA, FL, 335563330, US 1501 W CLEVELAND ST, TAMPA, FL, 336061806, US

Contacts
Phone +1 813-418-7350

Authorized person
Name MRS. BETH ANN PATTERSON
Role SECRETARY
Phone 8136904414

Taxonomy
Taxonomy Code 225100000X - Physical Therapist
License Number 4616
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OPPT-HYDE PARK 401(K) PLAN 2023 272012061 2024-05-13 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2024-05-13
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
OPPT-HYDE PARK 401(K) PLAN 2022 272012061 2023-05-22 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2023-05-22
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-05-22
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
OPPT-HYDE PARK 401(K) PLAN 2021 272012061 2022-08-21 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2022-08-21
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-08-21
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
OPPT-HYDE PARK 401(K) PLAN 2020 272012061 2021-10-12 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2021-10-12
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
OPPT-HYDE PARK 401(K) PLAN 2019 272012061 2020-09-18 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2020-09-18
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
OPPT-HYDE PARK 401(K) PLAN 2018 272012061 2019-10-10 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
OPPT-HYDE PARK 401(K) PLAN 2017 272012061 2018-10-09 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 10
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2018-10-09
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
OPPT-HYDE PARK 401(K) PLAN 2017 272012061 2019-10-10 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Signature of
Role Plan administrator
Date 2019-10-10
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
OPPT-HYDE PARK 401(K) PLAN 2016 272012061 2017-07-20 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Plan administrator’s name and address
Administrator’s EIN 272012061
Plan administrator’s name OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC
Plan administrator’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606
Administrator’s telephone number 8138058105

Signature of
Role Plan administrator
Date 2017-07-20
Name of individual signing JEREMY MADDOX
Valid signature Filed with authorized/valid electronic signature
OPPT-HYDE PARK 401(K) PLAN 2015 272012061 2016-03-15 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2012-01-01
Business code 621340
Sponsor’s telephone number 8138058105
Plan sponsor’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606

Plan administrator’s name and address
Administrator’s EIN 272012061
Plan administrator’s name OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - HYDE PARK, LLC
Plan administrator’s address 1501 W. CLEVELAND STREET, SUITE 220, TAMPA, FL, 33606
Administrator’s telephone number 8138058105

Agent

Name Role Address
MADDOX JEREMY Agent 1501 W. CLEVELAND STREET, TAMPA, FL, 33606

Manager

Name Role Address
MADDOX JEREMY Manager 1501 W. CLEVELAND STREET, STE. 220, TAMPA, FL, 33606

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2023-10-16 1501 W. Cleveland St. Suite 220, TAMPA, FL 33606 No data
CHANGE OF PRINCIPAL ADDRESS 2022-09-20 1501 W. Cleveland St. Suite 220, TAMPA, FL 33606 No data
LC AMENDMENT 2011-12-06 No data No data
REGISTERED AGENT NAME CHANGED 2011-12-06 MADDOX, JEREMY No data
REGISTERED AGENT ADDRESS CHANGED 2011-12-06 1501 W. CLEVELAND STREET, STE. 220, TAMPA, FL 33606 No data

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
ANNUAL REPORT 2017-01-10
ANNUAL REPORT 2016-01-23
ANNUAL REPORT 2015-01-16

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Related by address

14004 Roosevelt Blvd, Suite 613, Clearwater, FL, 33762, US

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Date of last update: 02 Feb 2025

Sources: Florida Department of State

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