| Entity Name: | PRIME PHYSICAL THERAPY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PRIME 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: |
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: | 28 Sep 2001 (24 years ago) |
| Document Number: | P01000095253 |
| FEI/EIN Number |
522344261
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 18435 Merseyside Loop, Land O Lakes, FL, 34638, US |
| Mail Address: | PO BOX 272689, TAMPA, FL, 33688, UN |
| ZIP code: | 34638 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427259779 | 2007-05-31 | 2015-10-28 | PO BOX 272689, TAMPA, FL, 336882689, US | 4895 W WATERS AVE, SUITE E, TAMPA, FL, 336341316, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-932-3315 |
Authorized person
| Name | MRS. ROBIN LYNN JOHNSON |
| Role | OWNER |
| Phone | 8139323315 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 222535 |
| State | FL |
| Issuer | CIGNA |
| Number | 2906996 |
| State | FL |
| Issuer | DEPT OF LABOR |
| Number | 350376000 |
| State | FL |
| Issuer | NON-PAR BCBS |
| Number | Y0571 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON ROBIN | Director | 3316 STONEMAN COOP, LAND O LAKES, FL, 34638 |
| DORIS KEVIN | Director | 18435 Merseyside Loop, Land O Lakes, FL, 34638 |
| Doris Kevin | Agent | 18435 Merseyside Loop, Land O Lakes, FL, 34638 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-06 | 18435 Merseyside Loop, Land O Lakes, FL 34638 | - |
| REGISTERED AGENT NAME CHANGED | 2024-01-06 | Doris, Kevin | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-06 | 18435 Merseyside Loop, Land O Lakes, FL 34638 | - |
| CHANGE OF MAILING ADDRESS | 2022-04-11 | 18435 Merseyside Loop, Land O Lakes, FL 34638 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-06 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-01-07 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-11 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-01-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6116907210 | 2020-04-27 | 0455 | PPP | 4895 W Waters Ave Suite e, Tampa, FL, 34638 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5328148309 | 2021-01-25 | 0455 | PPS | 4895 W Waters Ave Ste E, Tampa, FL, 33634-1316 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
