| Entity Name: | PHYSICAL THERAPY 4 U, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 07 Apr 2003 (22 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | P03000038400 |
| FEI/EIN Number | 582668557 |
| Address: | 2961 PLACIDA ROAD, ENGLEWOOD, FL, 34224, US |
| Mail Address: | 2961 PLACIDA ROAD, ENGLEWOOD, FL, 34224, US |
| ZIP code: | 34224 |
| County: | Charlotte |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366656282 | 2007-05-09 | 2018-06-21 | PO BOX 1174, ENGLEWOOD, FL, 342951174, US | 2961 PLACIDA RD, STE 11, ENGLEWOOD, FL, 342248525, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-697-7737 |
| Fax | 9416971688 |
Authorized person
| Name | TODD DOUGLAS BOTTENFIELD |
| Role | PRESIDENT AND THERAPIST |
| Phone | 9416977737 |
Taxonomy
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | FL11482 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | UNIVERSAL HEALTHCARE |
| Number | 915754 |
| State | FL |
| Issuer | RAILROAD MEDICARE |
| Number | P00071384 |
| State | FL |
| Issuer | TODD BOTTENFIELD NPI |
| Number | 1053314914 |
| State | FL |
| Issuer | AETNA |
| Number | 6656660 |
| State | FL |
| Issuer | BLUE CROSS PROVIDER ID |
| Number | Y043T |
| State | FL |
| Issuer | UNITED HEALTHCARE PROV ID |
| Number | 64-01818 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BOTTENFIELD TODD D | Agent | 2961 PLACIDA ROAD, ENGLEWOOD, FL, 34224 |
| Name | Role | Address |
|---|---|---|
| BOTTENFIELD TODD D | President | 1849 WHISPERING PINES CIR, ENGLEWOOD, FL, 34223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-18 | BOTTENFIELD, TODD D | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-03-21 | 2961 PLACIDA ROAD, Suite #11, ENGLEWOOD, FL 34224 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-21 | 2961 PLACIDA ROAD, Suite #11, ENGLEWOOD, FL 34224 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-03-21 | 2961 PLACIDA ROAD, Suite #11, ENGLEWOOD, FL 34224 | No data |
| REINSTATEMENT | 2016-08-03 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-03-17 |
| REINSTATEMENT | 2016-08-03 |
| ANNUAL REPORT | 2012-03-02 |
| ANNUAL REPORT | 2011-02-16 |
| ANNUAL REPORT | 2010-02-17 |
| ANNUAL REPORT | 2009-01-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
