| Entity Name: | THERAPY ALLIANCE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
THERAPY ALLIANCE, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 20 Jan 2009 (16 years ago) |
| Document Number: | P09000005364 |
| FEI/EIN Number |
800333154
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5979 NW 151ST STREET, STE 208, MIAMI LAKES, FL, 33014, US |
| Mail Address: | 5979 NW 151ST STREET, STE 208, MIAMI LAKES, FL, 33014, US |
| ZIP code: | 33014 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174762074 | 2009-02-17 | 2013-06-18 | 5979 NW 151ST ST, SUITE 208, MIAMI LAKES, FL, 330142400, US | 5979 NW 151ST ST, SUITE 208, MIAMI LAKES, FL, 330142400, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-362-3300 |
| Fax | 3053620202 |
Authorized person
| Name | EMMANUEL MUDRYJ |
| Role | OWNER |
| Phone | 7864939090 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT-12003 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA-8529 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000650300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MUDRYJ EMMANUEL | President | 4730 SW 109 TERRACE, DAVIE, FL, 33328 |
| MUDRYJ EMMANUEL | Secretary | 4730 SW 109 TERRACE, DAVIE, FL, 33328 |
| MONTOTO MARIA S | Vice President | 4730 SW 109 TERRACE, DAVIE, FL, 33328 |
| MUDRYJ EMMANUEL | Agent | 4730 SW 109 TERRACE, DAVIE, FL, 33328 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2012-11-06 | 5979 NW 151ST STREET, STE 208, MIAMI LAKES, FL 33014 | - |
| CHANGE OF MAILING ADDRESS | 2012-11-06 | 5979 NW 151ST STREET, STE 208, MIAMI LAKES, FL 33014 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2010-03-31 | 4730 SW 109 TERRACE, DAVIE, FL 33328 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-15 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9715948409 | 2021-02-17 | 0455 | PPS | 4730 SW 109th Ter, Davie, FL, 33328-3239 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6399007700 | 2020-05-01 | 0455 | PPP | 5979 NW 151ST ST STE 208, MIAMI LAKES, FL, 33014-2446 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Apr 2025
Sources: Florida Department of State
