| Entity Name: | PERFORMANCE PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PERFORMANCE PHYSICAL THERAPY, 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 14 Apr 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2018 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (7 years ago) |
| Document Number: | P00000039374 |
| FEI/EIN Number |
593643610
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 150 SOUTHPARK BLVD. SUITE 201, SAINT AUGUSTINE, FL, 32086, US |
| Mail Address: | 150 SOUTHPARK BLVD. SUITE 201, SAINT AUGUSTINE, FL, 32086, US |
| ZIP code: | 32086 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871694919 | 2006-09-25 | 2009-01-15 | 150 SOUTHPARK BLVD, SUITE 201, ST AUGUSTINE, FL, 320865190, US | 150 SOUTHPARK BLVD, SUITE 201, ST AUGUSTINE, FL, 320865190, US | |||||||||||||||||||||||
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| Phone | +1 904-824-7787 |
| Fax | 9044290318 |
Authorized person
| Name | MS. KAREN L HASELTINE |
| Role | C.E.O. |
| Phone | 9048247787 |
Taxonomy
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| License Number | PT21013 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | QV9 |
| Name | Role | Address |
|---|---|---|
| HASELTINE KAREN L | Chief Executive Officer | 150 SOUTHPARK BLVD., SUITE 201, SAINT AUGUSTINE, FL, 32086 |
| HALL & EDWARDS, PA | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| REGISTERED AGENT NAME CHANGED | 2014-04-30 | HALL & EDWARDS, PA | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-30 | 3791 A1A SOUTH, SUITE B, ST. AUGUSTINE, FL 32080 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2008-06-03 | 150 SOUTHPARK BLVD. SUITE 201, SAINT AUGUSTINE, FL 32086 | - |
| CHANGE OF MAILING ADDRESS | 2008-06-03 | 150 SOUTHPARK BLVD. SUITE 201, SAINT AUGUSTINE, FL 32086 | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J18000202796 | ACTIVE | 1000000782968 | ST JOHNS | 2018-05-17 | 2028-05-23 | $ 757.92 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-05-15 |
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-12 |
| ANNUAL REPORT | 2012-04-27 |
| ANNUAL REPORT | 2011-04-22 |
| ANNUAL REPORT | 2010-04-23 |
| ANNUAL REPORT | 2009-04-29 |
| ANNUAL REPORT | 2008-04-25 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
