Entity Name: | THERAPIA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 25 Apr 2002 (23 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 18 Oct 2017 (7 years ago) |
Document Number: | P02000046839 |
FEI/EIN Number | 364495573 |
Address: | 700 3RD STREET, SUITE 202, NEPTUNE BEACH, FL, 32266, US |
Mail Address: | 1015 ATLANTIC BLVD., #214, ATLANTIC BEACH, FL, 32233 |
ZIP code: | 32266 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912316134 | 2014-08-13 | 2014-08-13 | 1015 ATLANTIC BLVD, #214, ATLANTIC BEACH, FL, 322333313, US | 700 3RD ST, SUITE 202, NEPTUNE BEACH, FL, 322665072, US | |||||||||||||||||||||||||
|
Phone | +1 904-249-5020 |
Fax | 9042417777 |
Authorized person
Name | MISS CASSIDI RANDALL |
Role | DIRECTOR OF ELIGIBILITY |
Phone | 9042495020 |
Taxonomy
Taxonomy Code | 225200000X - Physical Therapy Assistant |
License Number | PTA24878 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICARE PTAN |
Number | 686677 |
State | FL |
Name | Role | Address |
---|---|---|
ANYA JOHNSON | Agent | 700 3RD STREET, NEPTUNE BEACH, FL, 32266 |
Name | Role | Address |
---|---|---|
JOHNSON ANYA | President | 2505 South Ponte Vedra Blvd, PONTE VEDRA BEACH, FL, 32082 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G14000041007 | BEACHES REHABILITATION CENTER | ACTIVE | 2014-04-24 | 2029-12-31 | No data | 1015 ATLANTIC BLVD, 214, ATLANTIC BEACH, FL, 32233 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-04-13 | 700 3RD STREET, SUITE 202, NEPTUNE BEACH, FL 32266 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2021-04-13 | 700 3RD STREET, SUITE 202, NEPTUNE BEACH, FL 32266 | No data |
REINSTATEMENT | 2017-10-18 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2016-04-25 | ANYA, JOHNSON | No data |
AMENDMENT | 2013-07-23 | No data | No data |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J17000107138 | ACTIVE | 1000000735423 | DUVAL | 2017-02-16 | 2037-02-24 | $ 3,472.28 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, OUT OF STATE COLLECTIONS UNIT, 1415 W US HIGHWAY 90 STE 115, LAKE CITY FL320556156 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-05 |
ANNUAL REPORT | 2023-01-23 |
ANNUAL REPORT | 2022-03-25 |
ANNUAL REPORT | 2021-04-13 |
ANNUAL REPORT | 2020-05-01 |
ANNUAL REPORT | 2019-04-02 |
ANNUAL REPORT | 2018-03-13 |
REINSTATEMENT | 2017-10-18 |
ANNUAL REPORT | 2016-04-25 |
ANNUAL REPORT | 2015-04-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State