| Entity Name: | THERAPY BY MELANIE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Nov 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Nov 2016 (8 years ago) |
| Document Number: | L14000177892 |
| FEI/EIN Number | 81-1574896 |
| Address: | 2795 W HWY 98, MARY ESTHER, FL, 32569, US |
| Mail Address: | 2795 W HWY 98, MARY ESTHER, FL, 32569, US |
| ZIP code: | 32569 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710339726 | 2016-07-01 | 2016-07-01 | 2795 W HIGHWAY 98, MARY ESTHER, FL, 325692332, US | 2795 W HIGHWAY 98, MARY ESTHER, FL, 325692332, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 850-581-2820 |
| Fax | 8508077328 |
Authorized person
| Name | MS. MELANIE BROOME |
| Role | OWNER |
| Phone | 8505812820 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT17107 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2251S0007X - Sports Physical Therapist |
| License Number | PT17107 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| License Number | PT17107 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THERAPY BY MELANIE I401K | 2019 | 811574896 | 2020-06-15 | THERAPY BY MELANIE, LLC. | 1 | |||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2020-06-15 |
| Name of individual signing | MELANIE BROOME |
| Valid signature | Filed with authorized/valid electronic signature |
| Role | Employer/plan sponsor |
| Date | 2020-06-15 |
| Name of individual signing | MELANIE BROOME |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BROOME MELANIE F | Agent | 2795 W HWY 98, MARY ESTHER, FL, 32569 |
| Name | Role | Address |
|---|---|---|
| BROOME MELANIE F | Manager | 2795 W HWY 98, MARY ESTHER, FL, 32569 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2016-11-14 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-11-14 | BROOME, MELANIE F | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-03-30 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-01-08 |
| ANNUAL REPORT | 2017-01-03 |
| REINSTATEMENT | 2016-11-14 |
| ANNUAL REPORT | 2015-02-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
