| Entity Name: | ONSITE PHYSIO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 May 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Feb 2024 (a year ago) |
| Document Number: | L12000058911 |
| FEI/EIN Number | 46-0721022 |
| Address: | 7785 Baymeadows Way, Suite 108, Jacksonville, FL 32256 |
| Mail Address: | 7785 Baymeadows Way, SUITE 108, Jacksonville, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962834655 | 2013-08-05 | 2018-07-13 | 8659 BAYPINE RD STE 304, JACKSONVILLE, FL, 322567554, US | 8659 BAYPINE RD STE 304, JACKSONVILLE, FL, 32256, US | |||||||||||||||||||||||||||
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| Phone | +1 866-907-4797 |
| Fax | 8669084797 |
Authorized person
| Name | BRIAN BARTH |
| Role | PRESIDENT |
| Phone | 8669074797 |
Taxonomy
| Taxonomy Code | 111N00000X - Chiropractor |
| Is Primary | No |
| Taxonomy Code | 171100000X - Acupuncturist |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ONSITE PHYSIO, LLC 401(K) PROFIT SHARING PLAN | 2022 | 460721022 | 2023-06-28 | ONSITE PHYSIO, LLC | 37 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-06-28 |
| Name of individual signing | CECIL PICKENS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2023-06-28 |
| Name of individual signing | CECIL PICKENS |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 9045282773 |
| Plan sponsor’s address | 7785 BAYMEADOWS WAY, SUITE 108, JACKSONVILLE, FL, 32256 |
Signature of
| Role | Plan administrator |
| Date | 2022-10-12 |
| Name of individual signing | CECIL PICKENS |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2022-10-12 |
| Name of individual signing | CECIL PICKENS |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role |
|---|---|
| SPECIALIZED WORKCOMP SERVICES, LLC | Agent |
| Name | Role |
|---|---|
| SPECIALIZED WORKCOMP SERVICES, LLC | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000062178 | PHYSNET | ACTIVE | 2021-05-05 | 2026-12-31 | No data | 8659 BAYPINE RD #304, JACKSONVILLE, FL, 32256 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-02-22 | SPECIALIZED WORKCOMP SERVICES, LLC | No data |
| REINSTATEMENT | 2024-02-22 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-03-02 | 7785 Baymeadows Way, Suite 108, Jacksonville, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-02 | 7785 Baymeadows Way, Suite 108, Jacksonville, FL 32256 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-02 | 7785 Baymeadows Way, SUITE 108, Jacksonville, FL 32256 | No data |
| LC AMENDMENT | 2012-07-18 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-02-22 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-04-19 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-03-08 |
| ANNUAL REPORT | 2016-08-10 |
| ANNUAL REPORT | 2015-03-05 |
| ANNUAL REPORT | 2014-05-05 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
