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  5. CHIPLEY PHYSICAL THERAPY, INC.

CHIPLEY PHYSICAL THERAPY, INC. - Florida Company Profile

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Company Details

Entity Name: CHIPLEY PHYSICAL THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Oct 2002 (23 years ago)
Document Number: P02000108176
FEI/EIN Number 820566563
Address: 1567 Main St, CHIPLEY, FL, 32428, US
Mail Address: 1567 Main St, CHIPLEY, FL, 32428, US
ZIP code: 32428
City: Chipley
County: Washington
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LAUREL RUBEN A Chief Executive Officer 1567 Main St, CHIPLEY, FL, 32428
Laurel Lorrie A Vice President 1567 Main St, CHIPLEY, FL, 32428
LAUREL RUBEN A Agent 1567 Main St, CHIPLEY, FL, 32428

U.S. Small Business Administration Profile

Phone Number:
850-638-3387
E-mail Address:
chipleyptbilling2@gmail.com
Fax Number:
850-415-1967
Contact Person:
RUBEN LAUREL
User ID:
P2551791
Trade Name:
CHIPLEY PHYSICAL THERAPY

Unique Entity ID

Unique Entity ID:
F35RM3XPHLC7
CAGE Code:
8XHW4
UEI Expiration Date:
2026-05-02

Business Information

Doing Business As:
CHIPLEY PHYSICAL THERAPY
Division Name:
CHIPLEY PHYSICAL THERAPY, INC
Activation Date:
2025-05-08
Initial Registration Date:
2021-03-09

Commercial and government entity program

CAGE number:
8XHW4
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-08
CAGE Expiration:
2030-05-08
SAM Expiration:
2026-05-02

Contact Information

POC:
RUBEN LAUREL

National Provider Identifier

NPI Number:
1073857298
Link:
View on NPI website

Authorized Person:

Name:
RUBEN ALONZO LAUREL
Role:
CEO
Phone:
8506383387

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Phone:
+1 850-638-3387
Fax:
8504151967

Form 5500 Series

Employer Identification Number (EIN):
820566563
Plan Year:
2024
Number Of Participants:
4
Sponsors Telephone Number:
8506383387
File:
View File
Plan Year:
2023
Number Of Participants:
4
Sponsors Telephone Number:
8506383387
File:
View File
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
8506383387
File:
View File

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000004105 MARIANNA PHYISCAL THERAPY EXPIRED 2010-01-13 2015-12-31 - 1414 MAIN ST SUITE 3A, CHIPLEY, FL, 32428

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-08 1567 Main St, CHIPLEY, FL 32428 -
CHANGE OF MAILING ADDRESS 2019-04-08 1567 Main St, CHIPLEY, FL 32428 -
REGISTERED AGENT ADDRESS CHANGED 2019-04-08 1567 Main St, CHIPLEY, FL 32428 -
REGISTERED AGENT NAME CHANGED 2006-01-31 LAUREL, RUBEN ACEO -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J13001164574 LAPSED 13000069CA JACKSON COUNTY FL COUNTY CT 2013-05-08 2018-07-02 $12,349.48 YALE MARIANNA, LLC, 10 NEW KING STREET, SUITE 102, WHITE PLAINS, NY 10604

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-02-14
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-04-08
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-04-15
ANNUAL REPORT 2015-04-29

USAspending Awards / Financial Assistance

Date:
2021-01-28
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
122296.00
Total Face Value Of Loan:
122296.00
Date:
2020-05-26
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-05-26
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
120200.00
Total Face Value Of Loan:
120200.00
Date:
2020-04-30
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
120200.00
Total Face Value Of Loan:
120200.00

Paycheck Protection Program

Jobs Reported:
22
Initial Approval Amount:
$120,200
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$120,200
Race:
American Indian or Alaska Native
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$121,168.19
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $120,200
Jobs Reported:
22
Initial Approval Amount:
$122,296
Date Approved:
2021-01-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$122,296
Race:
American Indian or Alaska Native
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$123,126.94
Servicing Lender:
Regions Bank
Use of Proceeds:
Payroll: $122,295
Utilities: $1

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Date of last update: 02 Aug 2025

Sources: Florida Department of State

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