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BASE PHYSICAL THERAPY, LLC - Florida Company Profile

Company Details

Entity Name: BASE PHYSICAL THERAPY, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

BASE 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 Jan 2012 (13 years ago)
Document Number: L12000008933
FEI/EIN Number 45-4378138

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3361 RAYMOND DIEHL BUS LANE RD, TALLAHASSEE, FL, 32308-3895, US
Mail Address: 3470 RUSTLEWOOD LN., TALLAHASSEE, FL, 32312
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841538113 2013-01-22 2014-04-17 PO BOX 14344, TALLAHASSEE, FL, 323174344, US 1989 CAPITAL CIR NE, SUITE 9, TALLAHASSEE, FL, 323084493, US

Contacts

Phone +1 850-727-5406
Fax 8507275764

Authorized person

Name THOMAS M LARSON
Role PRESIDENT
Phone 8505087831

Taxonomy

Taxonomy Code 174400000X - Specialist
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 008869300
State FL
Issuer BCBSFL
Number Y90SZ
State FL

Key Officers & Management

Name Role Address
LARSON THOMAS M Manager 3470 RUSTLEWOOD LN., TALLAHASSEE, FL, 32312
Larson Jenna Manager 3470 RUSTLEWOOD LN., TALLAHASSEE, FL, 32312
LARSON THOMAS Agent 3470 RUSTLEWOOD LN., TALLAHASSEE, FL, 32312

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2018-04-15 3361 RAYMOND DIEHL BUS LANE RD, TALLAHASSEE, FL 32308-3895 -

Documents

Name Date
ANNUAL REPORT 2024-02-12
ANNUAL REPORT 2023-03-07
ANNUAL REPORT 2022-04-21
ANNUAL REPORT 2021-04-25
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-28
ANNUAL REPORT 2018-04-15
ANNUAL REPORT 2017-09-09
ANNUAL REPORT 2016-04-23
ANNUAL REPORT 2015-04-26

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
8337057207 2020-04-28 0491 PPP 3361 Raymond Diehl Bus. land road, TALLAHASSEE, FL, 32308
Loan Status Date 2021-01-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 43834
Loan Approval Amount (current) 43834
Undisbursed Amount 0
Franchise Name -
Lender Location ID 81618
Servicing Lender Name TC Federal Bank
Servicing Lender Address 131 S Dawson St, THOMASVILLE, GA, 31792-5186
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TALLAHASSEE, LEON, FL, 32308-0001
Project Congressional District FL-02
Number of Employees 3
NAICS code 621399
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 81618
Originating Lender Name TC Federal Bank
Originating Lender Address THOMASVILLE, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 44103.09
Forgiveness Paid Date 2020-12-14

Date of last update: 01 Mar 2025

Sources: Florida Department of State