| Entity Name: | WORTH PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 25 Feb 2003 (22 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P03000022612 |
| FEI/EIN Number | 760726333 |
| Address: | 7111 LAKE WORTH RD., LAKE WORTH, FL, 33467 |
| Mail Address: | 7111 LAKE WORTH RD., LAKE WORTH, FL, 33467 |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114957453 | 2006-07-03 | 2008-06-24 | 7111 LAKE WORTH RD # 15, LAKE WORTH, FL, 334672906, US | 7111 LAKE WORTH RD # 15, LAKE WORTH, FL, 334672906, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 561-966-7950 |
| Fax | 5615148346 |
Authorized person
| Name | MICHAEL LEOPOLD |
| Role | PRESIDENT |
| Phone | 5619667950 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | HCC3954 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WORTH PHYSICAL THERAPY RETIREMENT PLAN | 2014 | 760726333 | 2016-03-09 | WORTH PHYSICAL THERAPY, INC. | 4 | |||||||||||||||||||||||
|
||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2016-03-09 |
| Name of individual signing | MICHAEL LEOPOLD |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2005-08-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 5619667950 |
| Plan sponsor’s address | 7111 LAKE WORTH ROAD, SUITE 15, LAKE WORTH, FL, 33467 |
Signature of
| Role | Plan administrator |
| Date | 2016-03-09 |
| Name of individual signing | MICHAEL LEOPOLD |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| LEOPOLD MICHAEL | Agent | 7111 LAKE WORTH RD., LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| LEOPOLD MICHAEL D | President | 10452 TRIANON PLACE, WELLINGTON, FL, 33414 |
| Name | Role | Address |
|---|---|---|
| SELTER MICHELLE | Secretary | 104 PARKWAY, HARRINGTON PARK, NJ, 07640 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-01-23 |
| ANNUAL REPORT | 2007-01-10 |
| ANNUAL REPORT | 2006-03-13 |
| ANNUAL REPORT | 2005-01-18 |
| ANNUAL REPORT | 2004-08-11 |
| Domestic Profit | 2003-02-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
