Entity Name: | INSPIRE PEDIATRIC THERAPIES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 04 Aug 2015 (10 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 04 Oct 2016 (8 years ago) |
Document Number: | L15000133049 |
FEI/EIN Number | 474769856 |
Address: | 1580 N Carolwood Blvd, Fern Park, FL, 32730, US |
Mail Address: | 1580 N Carolwood Blvd, Fern Park, FL, 32730, US |
ZIP code: | 32730 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1104294552 | 2015-09-02 | 2015-09-02 | 2645 TIERRA CIR, WINTER PARK, FL, 327922208, US | 917 N PENNSYLVANIA AVE, WINTER PARK, FL, 327892456, US | |||||||||||||||||||||||||
|
Phone | +1 407-437-2968 |
Fax | 3219723792 |
Authorized person
Name | SUSAN KERTON-LOCASCIO |
Role | OWNER |
Phone | 4074372968 |
Taxonomy
Taxonomy Code | 225X00000X - Occupational Therapist |
License Number | OT6909 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 884104700 |
State | FL |
Name | Role | Address |
---|---|---|
KERTON SUSAN A | Agent | 1580 N Carolwood Blvd, Fern Park, FL, 32730 |
Name | Role | Address |
---|---|---|
KERTON SUSAN A | Authorized Member | 1580 N Carolwood Blvd, Fern Park, FL, 32730 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G23000026379 | INSPIRETHERAPYSOLUTIONS | ACTIVE | 2023-02-25 | 2028-12-31 | No data | 1580 N CAROLWOOD BLVD, 1580, FERN PARK, FL, 32730 |
G16000017161 | PREMA- THERAPY | EXPIRED | 2016-02-17 | 2021-12-31 | No data | 2645 TIERRA CIRCLE, WINTER PARK, FL, 32792 |
G15000117722 | INSPIRE THERAPY SOLUTIONS | EXPIRED | 2015-11-19 | 2020-12-31 | No data | 2645 TIERRA CIRCLE, WINTER PARK, FL, 32792 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-03-02 | 1580 N Carolwood Blvd, Fern Park, FL 32730 | No data |
CHANGE OF MAILING ADDRESS | 2022-03-02 | 1580 N Carolwood Blvd, Fern Park, FL 32730 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-03-02 | 1580 N Carolwood Blvd, Fern Park, FL 32730 | No data |
REINSTATEMENT | 2016-10-04 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-10-04 | KERTON, SUSAN A | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-02-25 |
ANNUAL REPORT | 2022-03-02 |
ANNUAL REPORT | 2021-01-26 |
ANNUAL REPORT | 2020-02-18 |
ANNUAL REPORT | 2019-06-13 |
ANNUAL REPORT | 2018-04-13 |
ANNUAL REPORT | 2017-05-01 |
REINSTATEMENT | 2016-10-04 |
Florida Limited Liability | 2015-08-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State