| Entity Name: | BEYOND THERAPY GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 20 Oct 2014 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L14000163079 |
| FEI/EIN Number | 47-2111076 |
| Address: | 10300 SW 72nd ST, MIAMI, FL, 33173, US |
| Mail Address: | 10300 SW 72nd ST, MIAMI, FL, 33173, US |
| ZIP code: | 33173 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619368123 | 2015-02-05 | 2022-07-21 | 10300 SW 72ND ST STE 358, MIAMI, FL, 331733020, US | 10300 SW 72ND ST STE 358, MIAMI, FL, 331733020, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 786-313-3541 |
| Fax | 3053970907 |
Authorized person
| Name | ANNETTE BETANCOURT |
| Role | CEO |
| Phone | 7865537032 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 008257100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 014615700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Betancourt Annette | Agent | 10300 SW 72nd ST, MIAMI, FL, 33173 |
| Name | Role | Address |
|---|---|---|
| BETANCOURT ANNETTE | Manager | 10300 SW 72ND STREET, SUITE 425, MIAMI, FL, 33173 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-05 | 10300 SW 72nd ST, SUITE 358, MIAMI, FL 33173 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-05 | 10300 SW 72nd ST, SUITE 358, MIAMI, FL 33173 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-04-14 | 10300 SW 72nd ST, SUITE 425, MIAMI, FL 33173 | No data |
| REGISTERED AGENT NAME CHANGED | 2015-01-11 | Betancourt, Annette | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-04-14 |
| ANNUAL REPORT | 2015-01-11 |
| Florida Limited Liability | 2014-10-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
