| Entity Name: | AK THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 24 Jun 2009 (16 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 08 Jul 2011 (14 years ago) |
| Document Number: | P09000054546 |
| FEI/EIN Number | 270428097 |
| Address: | 2900 West Azeele Street Unit E, Tampa, FL, 33609, US |
| Mail Address: | 2900 West Azeele Street Unit E, Tampa, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184852493 | 2009-06-25 | 2024-01-18 | 2900 W. AZEELE STREET UNIT E, TAMPA, FL, 33609, US | 2900 W. AZEELE STREET UNIT E, TAMPA, FL, 33609, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-637-6137 |
| Fax | 7273889640 |
Authorized person
| Name | AMANDA KOTOLSKI |
| Role | OWNER |
| Phone | 7276376137 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | AMERIGROUP |
| Number | 01373846 |
| State | FL |
| Issuer | COVENTRY |
| Number | 294-719 |
| State | FL |
| Issuer | AETNA PIN |
| Number | 9437602 |
| Issuer | MEDICAID |
| Number | 004026100 |
| State | FL |
| Issuer | WELLCARE |
| Number | 357-364 |
| State | FL |
| Issuer | CIGNA |
| Number | 4965925 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Kotolski Amanda | Agent | 2900 West Azeele Street Unit E, Tampa, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| KOTOLSKI AMANDA | President | 2900 West Azeele Street Unit E, Tampa, FL, 33609 |
| Name | Role | Address |
|---|---|---|
| KOTOLSKI AMANDA | Director | 2900 West Azeele Street Unit E, Tampa, FL, 33609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-25 | 2900 West Azeele Street Unit E, Tampa, FL 33609 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-23 | 2900 West Azeele Street Unit E, Tampa, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-23 | 2900 West Azeele Street Unit E, Tampa, FL 33609 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-03-27 | Kotolski, Amanda | No data |
| AMENDMENT | 2011-07-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-04-09 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-04-25 |
| ANNUAL REPORT | 2018-04-26 |
| ANNUAL REPORT | 2017-04-16 |
| ANNUAL REPORT | 2016-03-27 |
| ANNUAL REPORT | 2015-04-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
