| Entity Name: | BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 14 Jul 2017 (8 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 24 Jul 2017 (8 years ago) |
| Document Number: | L17000151733 |
| FEI/EIN Number |
82-2191131
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 9400 Gladiolus Dr Ste 100, Fort Myers, FL, 33908, US |
| Mail Address: | 9400 Gladiolus Dr Ste 100, Fort Myers, FL, 33908, US |
| ZIP code: | 33908 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831616416 | 2017-08-24 | 2024-06-12 | 9400 GLADIOLUS DR STE 100, FORT MYERS, FL, 339086698, US | 9400 GLADIOLUS DR STE 100, FORT MYERS, FL, 339086698, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 239-223-2484 |
| Fax | 2397900969 |
| Phone | +1 239-223-0484 |
Authorized person
| Name | SCOTT GRAY |
| Role | OWNER/FOUNDER |
| Phone | 2392230484 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT30740 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2251S0007X - Sports Physical Therapist |
| License Number | 30740 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY LLC 401(K) PLAN | 2020 | 822191131 | 2021-07-16 | BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY LLC | 5 | |||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-15 |
| Name of individual signing | CAROL HO |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2019-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 2392230484 |
| Plan sponsor’s address | 9724 COMMERCE CENTER CT STE B, FORT MYERS, FL, 33908 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-02 |
| Name of individual signing | CAROL HO |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GRAY SCOTT Owner | Authorized Member | 9724 Commerce Center Ct, Fort Myers, FL, 33908 |
| Gray Ashley KVice Pr | Vice President | 9724 Commerce Center Ct, Fort Myers, FL, 33908 |
| GRAY SCOTT | Agent | 9724 Commerce Center Ct, Fort Myers, FL, 33908 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000129296 | BACK IN MOTION CAPE CORAL LLC | ACTIVE | 2020-10-05 | 2025-12-31 | - | 9724 COMMERCE CENTER COURT, SUITE B, FORT MYERS, FL, 33908 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-11 | 9400 Gladiolus Dr Ste 100, Fort Myers, FL 33908 | - |
| CHANGE OF MAILING ADDRESS | 2024-10-11 | 9400 Gladiolus Dr Ste 100, Fort Myers, FL 33908 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2021-03-25 | 9724 Commerce Center Ct, Suite B, Fort Myers, FL 33908 | - |
| LC NAME CHANGE | 2017-07-24 | BACK IN MOTION SPORT & SPINE PHYSICAL THERAPY, LLC | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-03 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-03-25 |
| ANNUAL REPORT | 2020-03-22 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-04-08 |
| LC Name Change | 2017-07-24 |
| Florida Limited Liability | 2017-07-14 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
