| Entity Name: | RPM PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Jun 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 May 2021 (4 years ago) |
| Document Number: | P06000086417 |
| FEI/EIN Number | 510590300 |
| Address: | 17612 NATHAN'S DR., TAMPA, FL, 33647 |
| Mail Address: | 17612 NATHAN'S DR., TAMPA, FL, 33647 |
| ZIP code: | 33647 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982820783 | 2007-04-18 | 2020-08-22 | 18050 HUNTERS OAK CT, TAMPA, FL, 336472250, US | 18050 HUNTERS OAK CT, TAMPA, FL, 336472250, US | |||||||||||||||||||||||||||||
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| Phone | +1 813-368-0398 |
Authorized person
| Name | RUDY L PAUL |
| Role | OWNER |
| Phone | 8133680398 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT20967 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PT LICENSE |
| Number | PT20967 |
| State | FL |
| Issuer | BCBS PROVIDER ID |
| Number | Y101R |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PAUL RUDY L | Agent | 17612 NATHAN'S DRIVE, TAMPA, FL, 33647 |
| Name | Role | Address |
|---|---|---|
| PAUL RUDY L | Manager | 17612 NATHAN'S DRIVE, TAMPA, FL, 33647 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-05-30 | PAUL, RUDY L | No data |
| REINSTATEMENT | 2021-05-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REINSTATEMENT | 2014-10-04 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2009-01-30 | 17612 NATHAN'S DRIVE, TAMPA, FL 33647 | No data |
| CHANGE OF MAILING ADDRESS | 2008-10-03 | 17612 NATHAN'S DR., TAMPA, FL 33647 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-10-03 | 17612 NATHAN'S DR., TAMPA, FL 33647 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-31 |
| REINSTATEMENT | 2021-05-30 |
| ANNUAL REPORT | 2019-02-12 |
| ANNUAL REPORT | 2018-09-15 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-01-13 |
| REINSTATEMENT | 2014-10-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
