| Entity Name: | HOMETOWN PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 May 2017 (8 years ago) |
| Document Number: | L17000113027 |
| FEI/EIN Number | 82-1650539 |
| Address: | 6801 PUCKETT RD, PERRY, FL 32348 |
| Mail Address: | 6801 PUCKETT RD, PERRY, FL 32348 |
| ZIP code: | 32348 |
| County: | Taylor |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457855496 | 2018-03-23 | 2018-03-23 | 6801 PUCKETT RD, PERRY, FL, 323488514, US | 6801 PUCKETT RD, PERRY, FL, 323488514, US | |||||||||||||||||
|
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| Phone | +1 850-843-2663 |
Authorized person
| Name | JEREMY GRAY |
| Role | PHYSICAL THERAPIST |
| Phone | 8508432663 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT-20137 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE, G.CLINE | Agent | 107 EAST GREEN ST, PERRY, FL 32347 |
| Name | Role | Address |
|---|---|---|
| MURPHY, STEPHEN P | Manager | 427 N. ELLISON RD, PERRY, FL 32347 |
| GRAY, JEREMY L | Manager | 6801 PUCKETT RD, PERRY, FL 32348 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-22 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-04-24 |
| Florida Limited Liability | 2017-05-23 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
