| Entity Name: | L.I.F.E PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Apr 2021 (4 years ago) |
| Document Number: | L21000171200 |
| FEI/EIN Number | 36-4990288 |
| Address: | 9025 ALEXANDRA CIRCLE, WELLINGTON, FL, 33414 |
| Mail Address: | 9025 ALEXANDRA CIRCLE, WELLINGTON, FL, 33414 |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467160846 | 2022-11-14 | 2022-11-14 | 9025 ALEXANDRA CIRC, WELLINGTON, FL, 33414, US | 9025 ALEXANDRA CIRC, WELLINGTON, FL, 33414, US | |||||||||||||
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| Phone | +1 917-685-6196 |
Authorized person
| Name | DR. SACHIKO SHINOHARA-LEWIS |
| Role | PT, DPT, MANAGER/OWNER |
| Phone | 9176856196 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHINOHARA-LEWIS SACHIKO | Agent | 9025 ALEXANDRA CIRCLE, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| SHINOHARA-LEWIS SACHIKO | Manager | 9025 ALEXANDRA CIRCLE, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2022-02-22 | SHINOHARA-LEWIS, SACHIKO | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-16 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-02-22 |
| Florida Limited Liability | 2021-04-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
