| Entity Name: | ADAPTIVE PEDIATRIC THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jun 2023 (2 years ago) |
| Document Number: | L23000276489 |
| FEI/EIN Number | 93-1807789 |
| Address: | 4540 Lafeyette St, MARIANNA, FL 32446 |
| Mail Address: | 4540 Lafeyette St, MARIANNA, FL 32446 |
| ZIP code: | 32446 |
| County: | Jackson |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871277715 | 2023-06-12 | 2023-07-10 | 4540 LAFAYETTE ST STE C, MARIANNA, FL, 324463236, US | 4540 LAFAYETTE ST STE C, MARIANNA, FL, 324463236, US | |||||||||||||||||||||||||
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| Phone | +1 850-557-4603 |
Authorized person
| Name | ALEXANDRIA BAILEY BURCH |
| Role | OWNER |
| Phone | 8505574603 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BURCH, ALEXANDRIA B | Agent | 3009 3RD ST., MARIANNA, FL 32446 |
| Name | Role | Address |
|---|---|---|
| BURCH, ALEXANDRIA B | Authorized Representative | 3009 3RD ST., MARIANNA, FL 32446 |
| Name | Role | Address |
|---|---|---|
| BURCH, BRANDON W | Manager | 3009 3RD ST., MARIANNA, FL 32446 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| Florida Limited Liability | 2023-06-07 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
