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PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB INC - Florida Company Profile

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Company Details

Entity Name: PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 05 Nov 2008 (17 years ago)
Document Number: P08000099353
FEI/EIN Number 800299947
Address: 4971 Le Chalet Blvd, Boynton Beach, FL, 33436, US
Mail Address: 4971 Le Chalet Blvd, Boynton Beach, FL, 33436, US
ZIP code: 33436
City: Boynton Beach
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PAPA JOHN President 106 PONCE DE LEON STREET, ROYAL PALM BEACH, FL, 33411
PAPA JOHN Secretary 106 PONCE DE LEON STREET, ROYAL PALM BEACH, FL, 33411
PAPA JOHN Treasurer 106 PONCE DE LEON STREET, ROYAL PALM BEACH, FL, 33411
PAPA JOHN Director 106 PONCE DE LEON STREET, ROYAL PALM BEACH, FL, 33411
PAPA JOHN Agent 106 PONCE DE LEON STREET, ROYAL PALM BEACH, FL, 33411

National Provider Identifier

NPI Number:
1467979872

Authorized Person:

Name:
JOHN PAPA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Legal Entity Identifier

LEI Number:
549300DUVSTMDK8HJL02

Registration Details:

Initial Registration Date:
2022-06-24
Next Renewal Date:
2023-06-23
Registration Status:
LAPSED
Validation Source:
FULLY_CORROBORATED

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G13000107668 ACTION PHYSICAL THERAPY EXPIRED 2013-11-01 2018-12-31 - 106 PONCE DE LEON ST, ROYAL PALM BEACH, FL, 33411

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-29 4971 Le Chalet Blvd, Boynton Beach, FL 33436 -
CHANGE OF MAILING ADDRESS 2022-04-29 4971 Le Chalet Blvd, Boynton Beach, FL 33436 -
REGISTERED AGENT ADDRESS CHANGED 2012-01-18 106 PONCE DE LEON STREET, ROYAL PALM BEACH, FL 33411 -

Documents

Name Date
ANNUAL REPORT 2024-04-25
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-06-29
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-29
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-29
ANNUAL REPORT 2015-03-23

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Date of last update: 02 Aug 2025

Sources: Florida Department of State