| Entity Name: | REQUEST PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Jun 2005 (20 years ago) |
| Document Number: | P05000082871 |
| FEI/EIN Number | 202960136 |
| Address: | 2601 MANATEE AVE WEST, SUITE E, BRADENTON, FL, 34205, US |
| Mail Address: | 2601 MANATEE AVE WEST, SUITE E, BRADENTON, FL, 34205, US |
| ZIP code: | 34205 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356440523 | 2006-09-22 | 2009-01-12 | 2722 MANATEE AVE W, SUITE 2, BRADENTON, FL, 342054945, US | 2722 MANATEE AVE W, SUITE 2, BRADENTON, FL, 342054945, US | |||||||||||||||||
|
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| Phone | +1 941-744-9046 |
Authorized person
| Name | MR. JOHN WALZ |
| Role | OWNER |
| Phone | 9417449046 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT20347 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALZ JOHN W | Agent | 2601 MANATEE AVE WEST, BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| WALZ JOHN W | President | 106 23RD STREET WEST, BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| WALZ JOHN W | Secretary | 106 23RD STREET WEST, BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| WALZ JOHN W | Treasurer | 106 23RD STREET WEST, BRADENTON, FL, 34205 |
| Name | Role | Address |
|---|---|---|
| WALZ JOHN W | Director | 106 23RD STREET WEST, BRADENTON, FL, 34205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-17 | 2601 MANATEE AVE WEST, SUITE E, BRADENTON, FL 34205 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-17 | 2601 MANATEE AVE WEST, SUITE E, BRADENTON, FL 34205 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-17 | 2601 MANATEE AVE WEST, SUITE E, BRADENTON, FL 34205 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-28 |
| ANNUAL REPORT | 2021-01-25 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-01-26 |
| ANNUAL REPORT | 2017-03-10 |
| ANNUAL REPORT | 2016-03-14 |
| ANNUAL REPORT | 2015-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
