| Entity Name: | ALLIED PHYSICAL THERAPY, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Jun 2004 (21 years ago) |
| Document Number: | P04000086705 |
| FEI/EIN Number | 201246400 |
| Address: | 1469 SW 4th Terrace, Cape Coral, FL, 33991, US |
| Mail Address: | 1469 SW 4th Terrace, CAPE CORAL, FL, 33991, US |
| ZIP code: | 33991 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104940899 | 2007-03-19 | 2023-11-08 | ALLIED PHYSICAL THERAPY, P.A., 1469 SW 4TH TERRACE, CAPE CORAL, FL, 339911424, US | ALLIED PHYSICAL THERAPY, P.A., 1469 SW 4TH TERRACE, CAPE CORAL, FL, 339911424, US | |||||||||||||||||||||||||||||
|
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| Phone | +1 239-242-0070 |
| Fax | 2392420076 |
Authorized person
| Name | MR. MATTHEW K HARKNESS |
| Role | PRESIDENT |
| Phone | 2392420070 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| License Number | 0700056666 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | Y917V |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HARKNESS MATTHEW K | Agent | 3020 Sheltered Oak Place, NORTH FORT MYERS, FL, 33903 |
| Name | Role | Address |
|---|---|---|
| HARKNESS MATTHEW K | President | 3020 Sheltered Oak Place, NORTH FORT MYERS, FL, 33903 |
| Name | Role | Address |
|---|---|---|
| HARKNESS MELISSA A | Treasurer | 3020 Sheltered Oak Place, North Fort Myers, FL, 33903 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-24 | 1469 SW 4th Terrace, Cape Coral, FL 33991 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-24 | 1469 SW 4th Terrace, Cape Coral, FL 33991 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-12 | 3020 Sheltered Oak Place, NORTH FORT MYERS, FL 33903 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-02-16 |
| ANNUAL REPORT | 2017-02-09 |
| ANNUAL REPORT | 2016-01-18 |
| ANNUAL REPORT | 2015-01-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
