| Entity Name: | REVOLUTION PHYSICAL THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 28 Apr 2021 (4 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 13 May 2022 (3 years ago) |
| Document Number: | L21000197949 |
| FEI/EIN Number | 86-3852967 |
| Address: | 7018 HOULTON CIR, LAKE WORTH, FL 33467-8747 |
| Mail Address: | 7018 Houlton Circle, LAKE WORTH, FL 33467 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558937227 | 2021-06-02 | 2021-09-27 | 5253 MAGELLAN WAY W, DELRAY BEACH, FL, 334841358, US | 141 NW 20TH ST, BOCA RATON, FL, 334317966, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 407-701-0242 |
| Phone | +1 772-486-0414 |
Authorized person
| Name | JESSICA YOUNG |
| Role | VICE PRESIDENT |
| Phone | 4077010242 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YOUNG, JESSICA | Agent | 7018 Houlton Circle, LAKE WORTH, FL 33467 |
| Name | Role | Address |
|---|---|---|
| YOUNG, WILLIAM T, JR | Manager | 7018 Houlton Circle, LAKE WORTH, FL 33467 |
| Name | Role | Address |
|---|---|---|
| YOUNG, JESSICA L | AMB | 7018 Houlton Circle, LAKE WORTH, FL 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-14 | 7018 HOULTON CIR, LAKE WORTH, FL 33467-8747 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-14 | 7018 Houlton Circle, LAKE WORTH, FL 33467 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-08 | 7018 HOULTON CIR, LAKE WORTH, FL 33467-8747 | No data |
| LC STMNT OF RA/RO CHG | 2022-05-13 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-05-13 | YOUNG, JESSICA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| AMENDED ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2023-03-14 |
| CORLCRACHG | 2022-05-13 |
| ANNUAL REPORT | 2022-03-30 |
| Florida Limited Liability | 2021-04-28 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
