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PEDIATRIC THERAPY SERVICES, INC. - Florida Company Profile

Company Details

Entity Name: PEDIATRIC THERAPY SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

PEDIATRIC THERAPY SERVICES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 15 Dec 1989 (35 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 11 Apr 2020 (5 years ago)
Document Number: L36775
FEI/EIN Number 592984541

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1215 E ORANGE ST, LAKELAND, FL, 33801, US
Mail Address: 1215 E ORANGE ST, LAKELAND, FL, 33801, US
ZIP code: 33801
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1871769349 2008-05-05 2018-08-20 206 RIDGEWOOD AVE, BRANDON, FL, 335104617, US 206 RIDGEWOOD AVE, BRANDON, FL, 33510, US

Contacts

Phone +1 813-662-1060
Fax 8136620530

Authorized person

Name GRAHAM KILBURN
Role OWNER/PRESIDENT
Phone 8136621060

Taxonomy

Taxonomy Code 2251P0200X - Pediatric Physical Therapist
License Number PT5990
State FL
Is Primary No
Taxonomy Code 225XP0200X - Pediatric Occupational Therapist
License Number OT1478
State FL
Is Primary No
Taxonomy Code 235Z00000X - Speech-Language Pathologist
License Number SA7398
State FL
Is Primary No
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes
Taxonomy Code 332BC3200X - Customized Equipment (DME)
License Number PT2549
State FL
Is Primary No

Other Provider Identifiers

Issuer MEDICAID
Number 024393800
State FL
Issuer UNITED HEALTHCARE
Number 6406221
State FL
Issuer MEDICAID
Number 8803579-04
State FL
Issuer CIGNA
Number 8810363001
State FL
Issuer BLUE CROSS BLUE SHIELD
Number Y906F
State FL
Issuer AETNA
Number 664175
State FL
Issuer CITRUS COMMERCIAL/HMO
Number 13424302
State FL
Issuer MEDICAID
Number 8803579-01
State FL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2023 592984541 2024-04-25 PEDIATRIC THERAPY SERVICES, INC. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET, LAKELAND, FL, 338017562
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2022 592984541 2023-03-02 PEDIATRIC THERAPY SERVICES, INC. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET, LAKELAND, FL, 338017562
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2021 592984541 2022-09-20 PEDIATRIC THERAPY SERVICES, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET, LAKELAND, FL, 338017562
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2020 592984541 2021-07-07 PEDIATRIC THERAPY SERVICES, INC. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET, LAKELAND, FL, 338017562
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2019 592984541 2020-05-29 PEDIATRIC THERAPY SERVICES, INC. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET, LAKELAND, FL, 338017562
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2018 592984541 2019-05-03 PEDIATRIC THERAPY SERVICES, INC. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET, LAKELAND, FL, 338017562
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2017 592984541 2018-03-08 PEDIATRIC THERAPY SERVICES, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET, LAKELAND, FL, 338017562
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2016 592984541 2017-03-03 PEDIATRIC THERAPY SERVICES, INC. 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET LAKELAND, LAKELAND, FL, 338017562
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2015 592984541 2016-02-25 PEDIATRIC THERAPY SERVICES, INC. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET LAKELAND, LAKELAND, FL, 338017562

Signature of

Role Plan administrator
Date 2016-02-25
Name of individual signing KATHY SHUFFLEBARGER
Valid signature Filed with authorized/valid electronic signature
PEDIATRIC THERAPY SERVICES, INC. 401(K) PROFIT SHARING PLAN 2014 592984541 2015-07-23 PEDIATRIC THERAPY SERVICES, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-01-01
Business code 621340
Sponsor’s telephone number 8638023800
Plan sponsor’s address 1215 EAST ORANGE STREET, LAKELAND, FL, 338017562

Signature of

Role Plan administrator
Date 2015-07-23
Name of individual signing KATHY SHUFFLEBARGER
Valid signature Filed with authorized/valid electronic signature

Key Officers & Management

Name Role Address
Riva Diana Secretary 1215 E ORANGE ST, LAKELAND, FL, 33801
Kilburn Graham Agent 1215 E. Orange Street, LAKELAND, FL, 33801
Kilburn Graham President 1215 E ORANGE ST, LAKELAND, FL, 33801
Kilburn Graham Director 1215 E ORANGE ST, LAKELAND, FL, 33801
Kilburn Graham Treasurer 1215 E ORANGE ST, LAKELAND, FL, 33801
Riva Diana Vice President 1215 E ORANGE ST, LAKELAND, FL, 33801
Riva Diana Director 1215 E ORANGE ST, LAKELAND, FL, 33801

Events

Event Type Filed Date Value Description
REINSTATEMENT 2020-04-11 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2019-09-27 - -
REGISTERED AGENT NAME CHANGED 2016-02-29 Kilburn, Graham -
REGISTERED AGENT ADDRESS CHANGED 2016-02-29 1215 E. Orange Street, LAKELAND, FL 33801 -
CHANGE OF PRINCIPAL ADDRESS 2002-03-25 1215 E ORANGE ST, LAKELAND, FL 33801 -
CHANGE OF MAILING ADDRESS 2002-03-25 1215 E ORANGE ST, LAKELAND, FL 33801 -

Documents

Name Date
ANNUAL REPORT 2024-02-22
ANNUAL REPORT 2023-01-25
ANNUAL REPORT 2022-01-31
ANNUAL REPORT 2021-02-16
REINSTATEMENT 2020-04-11
ANNUAL REPORT 2018-01-22
ANNUAL REPORT 2017-02-09
ANNUAL REPORT 2016-02-29
ANNUAL REPORT 2015-01-26
ANNUAL REPORT 2014-01-09

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4189048406 2021-02-06 0455 PPS 1215 E Orange St, Lakeland, FL, 33801-5762
Loan Status Date 2021-10-22
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 414105
Loan Approval Amount (current) 414105
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Lakeland, POLK, FL, 33801-5762
Project Congressional District FL-18
Number of Employees 38
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 416359.57
Forgiveness Paid Date 2021-09-09
4958567103 2020-04-13 0455 PPP 1215 East Orange Street, Lakeland, FL, 33801
Loan Status Date 2021-04-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 500000
Loan Approval Amount (current) 500000
Undisbursed Amount 0
Franchise Name -
Lender Location ID 117723
Servicing Lender Name SouthState Bank, National Association
Servicing Lender Address 1101 First St South, WINTER HAVEN, FL, 33880-3908
Rural or Urban Indicator U
Hubzone Y
LMI Y
Business Age Description Existing or more than 2 years old
Project Address Lakeland, POLK, FL, 33801-0001
Project Congressional District FL-18
Number of Employees 43
NAICS code 621340
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 117723
Originating Lender Name SouthState Bank, National Association
Originating Lender Address WINTER HAVEN, FL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 504402.78
Forgiveness Paid Date 2021-03-10

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P3208188 PEDIATRIC THERAPY SERVICES, INC. PEDIATRIC THERAPY SERVICES INC C6XBMSLKNNP4 1215 E ORANGE ST, LAKELAND, FL, 33801-5762
Capabilities Statement Link -
Phone Number 863-802-3800
Fax Number 863-802-0480
E-mail Address lakeland@ptsbeyourbest.com
WWW Page -
E-Commerce Website -
Contact Person TAYLOR DUFFY
County Code (3 digit) 105
Congressional District 18
Metropolitan Statistical Area 3980
CAGE Code 9R1Y3
Year Established 2016
Accepts Government Credit Card Yes
Legal Structure Corporation
Ownership and Self-Certifications Self-Certified Small Disadvantaged Business
Business Development Servicing Office SOUTH FLORIDA DISTRICT OFFICE (SBA office code 0455)
Capabilities Narrative (none given)
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords (none given)
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

SBA Federal Certifications

HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels

Description Construction Bonding Level (per contract)
Level (none given)
Description Construction Bonding Level (aggregate)
Level (none given)
Description Service Bonding Level (per contract)
Level (none given)
Description Service Bonding Level (aggregate)
Level (none given)

NAICS Codes with Size Determinations by NAICS

Primary Yes
Code 621340
NAICS Code's Description Offices of Physical, Occupational and Speech Therapists and Audiologists
Buy Green Yes

Export Profile (Trade Mission Online)

Exporter Firm hasn't answered this question yet
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Date of last update: 02 Apr 2025

Sources: Florida Department of State