| Entity Name: | PHYSICAL THERAPY AT HOME, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Oct 2002 (22 years ago) |
| Document Number: | P02000116431 |
| FEI/EIN Number | 043720629 |
| Address: | 611 MAY APPLE WAY, N/A, VENICE, FL, 34293 |
| Mail Address: | 611 MAY APPLE WAY, N/A, VENICE, FL, 34293 |
| ZIP code: | 34293 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346505559 | 2012-07-13 | 2013-10-28 | 611 MAY APPLE WAY, VENICE, FL, 342937278, US | 1121 JACARANDA BLVD, VENICE, FL, 342924586, US | |||||||||||||||||||
|
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| Phone | +1 941-206-5200 |
| Fax | 9415046842 |
Authorized person
| Name | GOMAA RAMADAM IBRAHIM ALI |
| Role | OWNER |
| Phone | 9412065200 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT12658 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ibrahim Gomaa Dr. | Agent | 611 MAY APPLE WAY, VENICE, FL, 34293 |
| Name | Role | Address |
|---|---|---|
| Temraz Shymaa | Director | 611 MAY APPLE WAY, VENICE, FL, 34293 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-02-28 | Ibrahim, Gomaa, Dr. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-01 | 611 MAY APPLE WAY, N/A, VENICE, FL 34293 | No data |
| CHANGE OF MAILING ADDRESS | 2007-04-01 | 611 MAY APPLE WAY, N/A, VENICE, FL 34293 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-01 | 611 MAY APPLE WAY, N/A, VENICE, FL 34293 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-25 |
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-02-13 |
| ANNUAL REPORT | 2021-02-28 |
| ANNUAL REPORT | 2020-03-22 |
| AMENDED ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2019-03-02 |
| ANNUAL REPORT | 2018-01-28 |
| ANNUAL REPORT | 2017-02-15 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
