| Entity Name: | THERAPEUTIC POTENTIALS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jun 2002 (23 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 25 Feb 2013 (12 years ago) |
| Document Number: | P02000066957 |
| FEI/EIN Number | 562288845 |
| Address: | THERAPEUTIC POTENTIALS, INC., 6977 PROFESSIONAL PARKWAY EAST, SARASOTA, FL, 34240 |
| Mail Address: | THERAPEUTIC POTENTIALS, INC., 6977 PROFESSIONAL PARKWAY EAST, SARASOTA, FL, 34240 |
| ZIP code: | 34240 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013135169 | 2007-04-23 | 2024-07-17 | 6977 PROFESSIONAL PKWY E, LAKEWOOD RANCH, FL, 342408411, US | 6977 PROFESSIONAL PKWY E, LAKEWOOD RANCH, FL, 342408411, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 941-758-3140 |
| Fax | 9418704891 |
Authorized person
| Name | DAVON RICE |
| Role | BILLING MANAGER |
| Phone | 9417029973 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA5010 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 888464102 |
| State | FL |
| Issuer | MEDICAID |
| Number | 888464100 |
| State | FL |
| Issuer | MEDICAID |
| Number | 888464101 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COLOMBO RAPHAEL C | Agent | 6977 PROFESSIONAL PKWY EAST, SARASOTA, FL, 34240 |
| Name | Role | Address |
|---|---|---|
| COLOMBO RAPHAEL C | Director | 11127 Pine Lilly Place, BRADENTON, FL, 34202 |
| COLOMBO JENNIFER E | Director | 11127 Pine Lilly Place, BRADENTON, FL, 34202 |
| Name | Role | Address |
|---|---|---|
| COLOMBO RAPHAEL C | President | 11127 Pine Lilly Place, BRADENTON, FL, 34202 |
| Name | Role | Address |
|---|---|---|
| COLOMBO JENNIFER E | Vice President | 11127 Pine Lilly Place, BRADENTON, FL, 34202 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2013-02-25 | THERAPEUTIC POTENTIALS, INC., 6977 PROFESSIONAL PARKWAY EAST, SARASOTA, FL 34240 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-02-25 | 6977 PROFESSIONAL PKWY EAST, SARASOTA, FL 34240 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-02-25 | THERAPEUTIC POTENTIALS, INC., 6977 PROFESSIONAL PARKWAY EAST, SARASOTA, FL 34240 | No data |
| AMENDMENT | 2013-02-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-02-25 | COLOMBO, RAPHAEL C | No data |
| CANCEL ADM DISS/REV | 2003-11-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2003-09-19 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-03-30 |
| ANNUAL REPORT | 2022-03-02 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
