| Entity Name: | TAILORED PHYSICAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jul 2021 (4 years ago) |
| Document Number: | L21000332903 |
| FEI/EIN Number | 87-1860141 |
| Address: | 4034 SCHIRRA DRIVE, JACKSONVILLE, FL 32277 |
| Mail Address: | 4034 SCHIRRA DRIVE, JACKSONVILLE, FL 32277 |
| ZIP code: | 32277 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134897374 | 2021-09-02 | 2021-09-02 | 4034 SCHIRRA DR, JACKSONVILLE, FL, 322771727, US | 4034 SCHIRRA DR, JACKSONVILLE, FL, 322771727, US | |||||||||||||
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| Phone | +1 904-859-8103 |
Authorized person
| Name | DR. STEPHANIE K NIERENBERG |
| Role | PT OWNER |
| Phone | 9048598103 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| NIERENBERG, STEPHANIE K | Agent | 4034 SCHIRRA DRIVE, JACKSONVILLE, FL 32277 |
| Name | Role | Address |
|---|---|---|
| NIERENBERG, STEPHANIE K | Authorized Person | 4034 SCHIRRA DRIVE, JACKSONVILLE, FL 32277 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000111877 | TAILORED PHYSICAL THERAPY AND WELLNESS | ACTIVE | 2021-08-30 | 2026-12-31 | No data | 4034 SCHIRRA DRIVE, JACKSONVILLE, FL, 32277 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-02-13 |
| ANNUAL REPORT | 2022-04-13 |
| Florida Limited Liability | 2021-07-22 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
