| Entity Name: | PHYSIOTHERAPY PLUS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Aug 2005 (20 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 14 Nov 2005 (19 years ago) |
| Document Number: | P05000106400 |
| FEI/EIN Number | 203509766 |
| Address: | 6388 SILVER STAR ROAD, E1, ORLANDO, FL, 32818, US |
| Mail Address: | P.O. BOX 680735, ORLANDO, FL, 32868, US |
| ZIP code: | 32818 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508817537 | 2006-05-15 | 2021-01-05 | 6388 SILVER STAR RD, 1E, ORLANDO, FL, 328183235, US | 6388 SILVER STAR RD STE 1E, ORLANDO, FL, 328183235, US | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 321-369-9133 |
| Fax | 8886961020 |
Authorized person
| Name | IDLER BONHOMME |
| Role | CLINICAL DIR |
| Phone | 3213699133 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT 21887 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225700000X - Massage Therapist |
| License Number | MA 32752 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 100816700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 017686500 |
| State | FL |
| Issuer | MEDICAID |
| Number | 891208400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BONHOMME IDLER | Agent | 6388 SILVER STAR ROAD,, ORLANDO, FL, 32818 |
| Name | Role | Address |
|---|---|---|
| BONHOMME IDLER | Director | 6388 SILVER STAR ROAD, ORLANDO, FL, 32818 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000009760 | FYZICAL METRO WEST | ACTIVE | 2022-01-16 | 2027-12-31 | No data | PO BOX 680735, ORLANDO, FL, 32868 |
| G19000102286 | FYZICAL ORLANDO | EXPIRED | 2019-09-18 | 2024-12-31 | No data | 6388 SILVER STAR RD, 1E, ORLANDO, FL, 32818 |
| G13000127997 | FYZICAL | EXPIRED | 2013-12-28 | 2018-12-31 | No data | 6388 SILVER STAR RD, 1-E, ORLANDO, FL, 32818 |
| G13000082009 | GENESIS PHYSICAL THERAPY & WELLNESS | EXPIRED | 2013-08-16 | 2018-12-31 | No data | P.O. BOX 680735, ORLANDO, FL, 32918 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-07 | 6388 SILVER STAR ROAD,, 1E, ORLANDO, FL 32818 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-08-23 | 6388 SILVER STAR ROAD, E1, ORLANDO, FL 32818 | No data |
| CHANGE OF MAILING ADDRESS | 2013-08-23 | 6388 SILVER STAR ROAD, E1, ORLANDO, FL 32818 | No data |
| AMENDMENT AND NAME CHANGE | 2005-11-14 | PHYSIOTHERAPY PLUS, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-27 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-10 |
| ANNUAL REPORT | 2021-04-02 |
| ANNUAL REPORT | 2020-05-19 |
| ANNUAL REPORT | 2019-05-04 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-24 |
| ANNUAL REPORT | 2015-04-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
