Entity Name: | EMPOWERED THERAPY LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 04 Aug 2020 (5 years ago) |
Document Number: | L20000233215 |
FEI/EIN Number | 85-2498374 |
Address: | 7651 LAUREL VALLEY ROAD, FORT MYERS, FL, 33967, US |
Mail Address: | 7651 LAUREL VALLEY ROAD, FORT MYERS, FL, 33967, US |
ZIP code: | 33967 |
County: | Lee |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1841804341 | 2020-09-02 | 2020-09-02 | 7651 LAUREL VALLEY RD, FORT MYERS, FL, 339675000, US | 7651 LAUREL VALLEY RD, FORT MYERS, FL, 339675000, US | |||||||||||||||||||
|
Phone | +1 609-533-9438 |
Authorized person
Name | MS. SONYA DIANN SPRADLEY |
Role | OWNER/ SPEECH-LANGUAGE PATHOLOGIST |
Phone | 6095339438 |
Taxonomy
Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 1124535273 |
State | FL |
Name | Role | Address |
---|---|---|
SPRADLEY SONYA | Agent | 7651 LAUREL VALLEY ROAD, FORT MYERS, FL, 33967 |
Name | Role | Address |
---|---|---|
SPRADLEY SONYA | Authorized Person | 7651 LAUREL VALLEY ROAD, FORT MYERS, FL, 33967 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-30 |
ANNUAL REPORT | 2023-05-01 |
ANNUAL REPORT | 2022-04-29 |
ANNUAL REPORT | 2021-02-25 |
Florida Limited Liability | 2020-08-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State