| Entity Name: | PHYSICAL THERAPY-CONNECTION LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 25 Oct 2012 (12 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L12000135866 |
| FEI/EIN Number | 46-1271785 |
| Address: | 8414 S Federal Hwy, Port Saint Lucie, FL 34952 |
| Mail Address: | P.O. BOX 880594, PORT ST LUCIE, FL 34988 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518211267 | 2012-11-02 | 2022-08-18 | 177 HUNTINGTON AVE, STE 1703 PMB 82414, BOSTON, MA, 021150594, US | 8414 S FEDERAL HWY, PORT SAINT LUCIE, FL, 349523306, US | |||||||||||||||||||||||||||||
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| Phone | +1 857-220-8415 |
| Fax | 7728796650 |
| Phone | +1 857-990-6111 |
| Fax | 8336151065 |
Authorized person
| Name | MAYA BEIN-NACHAL |
| Role | CHIEF OF STAFF |
| Phone | 8579906111 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | PT18972 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008418800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ORR, ERAN | Agent | 8414 S. FEDERAL HWY., PORT ST LUCIE, FL 34952 |
| Name | Role |
|---|---|
| XRHEALTH USA INC. | Authorized Member |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC AMENDMENT | 2022-03-21 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-21 | ORR, ERAN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-21 | 8414 S. FEDERAL HWY., PORT ST LUCIE, FL 34952 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-27 | 8414 S Federal Hwy, Port Saint Lucie, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2015-05-22 | 8414 S Federal Hwy, Port Saint Lucie, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-07-14 |
| LC Amendment | 2022-03-21 |
| ANNUAL REPORT | 2021-03-27 |
| ANNUAL REPORT | 2020-01-15 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-04-08 |
| ANNUAL REPORT | 2017-03-20 |
| ANNUAL REPORT | 2016-03-16 |
| ANNUAL REPORT | 2015-03-06 |
| ANNUAL REPORT | 2014-01-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6485397708 | 2020-05-01 | 0455 | PPP | 7664 S US HIGHWAY 1 STE B, PORT ST LUCIE, FL, 34952-2315 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3118608308 | 2021-01-21 | 0455 | PPS | 8414 S US Highway 1, Port St Lucie, FL, 34952-3306 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 22 Feb 2025
Sources: Florida Department of State
