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  5. OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC

OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC

Company Details

Entity Name: OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 29 Aug 2011 (13 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 10 Apr 2024 (10 months ago)
Document Number: L11000099059
FEI/EIN Number 453154338
Mail Address: 14004 Roosevelt Blvd, Suite 613, Clearwater, FL, 33762, US
Address: 611 W LUMSDEN ROAD, BRANDON, FL, 33511, US
ZIP code: 33511
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407132632 2011-11-02 2011-11-02 6023 HAMMOCK WOODS DR, ODESSA, FL, 335563330, US 1056 E BRANDON BLVD, BRANDON, FL, 335115509, US

Contacts
Phone +1 813-690-4414

Authorized person
Name BETH ANN PATTERSON
Role SECRETAY
Phone 8136904414

Taxonomy
Taxonomy Code 225100000X - Physical Therapist
License Number PT4616
State FL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
OPPT BRANDON & RIVERVIEW 401(K) PLAN 2023 453154338 2024-06-17 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 8134135513
Plan sponsor’s address 611 W. LUMSDEN RD., BRANDON, FL, 33511
OPPT BRANDON & RIVERVIEW 401(K) PLAN 2022 453154338 2023-06-28 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 8134135513
Plan sponsor’s address 1076 E. BRANDON BLVD., SUITE 106, BRANDON, FL, 33511
OPPT BRANDON & RIVERVIEW 401(K) PLAN 2021 453154338 2022-07-19 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 8134135513
Plan sponsor’s address 1076 E. BRANDON BLVD., SUITE 106, BRANDON, FL, 33511
OPPT BRANDON & RIVERVIEW 401(K) PLAN 2020 453154338 2021-06-01 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 8134135513
Plan sponsor’s address 1076 E. BRANDON BLVD., SUITE 106, BRANDON, FL, 33511
OPPT BRANDON & RIVERVIEW 401(K) PLAN 2019 453154338 2020-07-14 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 8134135513
Plan sponsor’s address 1076 E. BRANDON BLVD., SUITE 106, BRANDON, FL, 33511
OPPT BRANDON & RIVERVIEW 401(K) PLAN 2018 453154338 2019-07-10 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 8134135513
Plan sponsor’s address 1076 E. BRANDON BLVD., SUITE 106, BRANDON, FL, 33511
OPPT 401(K) PLAN 2017 453154338 2018-07-09 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 8134135513
Plan sponsor’s address 1076 E. BRANDON BLVD., SUITE 106, BRANDON, FL, 33511
OPPT 401(K) PLAN 2016 453154338 2017-05-17 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 8134135513
Plan sponsor’s address 1056 E. BRANDON BLVD., BRANDON, FL, 33511
OPPT 401(K) PLAN 2015 453154338 2016-07-14 OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - BRANDON, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621340
Sponsor’s telephone number 8134135513
Plan sponsor’s address 1056 E. BRANDON BLVD., BRANDON, FL, 33511

Agent

Name Role Address
BUETHE DOUG L Agent 611 W LUMSDEN RD, BRANDON, FL, 33511

Manager

Name Role Address
BUETHE DOUG Manager 611 W LUMSDEN RD, BRANDON, FL, 33511

Events

Event Type Filed Date Value Description
LC AMENDMENT 2024-04-10 No data No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-10 611 W LUMSDEN RD, BRANDON, FL 33511 No data
CHANGE OF PRINCIPAL ADDRESS 2024-03-25 611 W LUMSDEN ROAD, BRANDON, FL 33511 No data
CHANGE OF MAILING ADDRESS 2023-10-16 611 W LUMSDEN ROAD, BRANDON, FL 33511 No data
LC STMNT OF RA/RO CHG 2019-04-01 No data No data
LC AMENDMENT 2015-07-06 No data No data
REGISTERED AGENT NAME CHANGED 2015-07-06 BUETHE, DOUG L No data

Documents

Name Date
LC Amendment 2024-04-10
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
CORLCRACHG 2019-04-01
ANNUAL REPORT 2019-01-26
ANNUAL REPORT 2018-01-14
ANNUAL REPORT 2017-01-10

Related by officers

BUETHE DOUG

OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES - RIVERVIEW, LLC

Related by address

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

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Date of last update: 03 Feb 2025

Sources: Florida Department of State

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