| Entity Name: | CHIPLEY PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
CHIPLEY 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: | 04 Oct 2002 (23 years ago) |
| Document Number: | P02000108176 |
| FEI/EIN Number |
820566563
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1567 Main St, CHIPLEY, FL, 32428, US |
| Mail Address: | 1567 Main St, CHIPLEY, FL, 32428, US |
| ZIP code: | 32428 |
| County: | Washington |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1073857298 | 2012-11-15 | 2012-11-15 | 1414 MAIN ST STE 3A, CHIPLEY, FL, 324286951, US | 625 W BALDWIN RD STE C, PANAMA CITY, FL, 324053359, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 850-638-3387 |
| Fax | 8504151967 |
Authorized person
| Name | RUBEN ALONZO LAUREL |
| Role | CEO |
| Phone | 8506383387 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT13658 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT27435 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT23655 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT14591 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT26409 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHIPLEY PHYSICAL THERAPY INC 401(K) PLAN | 2023 | 820566563 | 2024-09-04 | CHIPLEY PHYSICAL THERAPY INC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-09-04 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-02-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 8506383387 |
| Plan sponsor’s address | 1567 MAIN STREET, CHIPLEY, FL, 32428 |
Signature of
| Role | Plan administrator |
| Date | 2023-09-13 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| 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 |
| 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 |
| 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 | - |
| 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 |
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6096847305 | 2020-04-30 | 0491 | PPP | 1567 Main St, Chipley, FL, 32428 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7212458305 | 2021-01-28 | 0491 | PPS | 1567 Main St, Chipley, FL, 32428-6948 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Active | P2551791 | CHIPLEY PHYSICAL THERAPY, INC | CHIPLEY PHYSICAL THERAPY | F35RM3XPHLC7 | 1567 MAIN ST, CHIPLEY, FL, 32428-6948 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621340 |
| NAICS Code's Description | Offices of Physical, Occupational and Speech Therapists and Audiologists |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
