| Entity Name: | KIDS QUALITY THERAPY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 26 Apr 2012 (13 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P12000039400 |
| FEI/EIN Number | 45-5249879 |
| Address: | 1941 NW 106 Terrace, PEMBROKE PINES, FL 33026 |
| Mail Address: | 1941 NW 106 TERRACE, PEMBROKE PINES, FL 33026 |
| ZIP code: | 33026 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538428446 | 2012-05-11 | 2016-03-21 | 1550 W 84TH ST, SUITE 58, HIALEAH, FL, 330143377, US | 1550 W 84TH ST, SUITE 58, HIALEAH, FL, 330143377, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 305-985-6122 |
| Fax | 7865457657 |
Authorized person
| Name | DR. JESSIELYNN AVILA |
| Role | DIRECTOR/OWNER |
| Phone | 3059856122 |
Taxonomy
| Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
| License Number | PT26138 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| License Number | PTA24257 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
| License Number | OT13788 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA12054 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 005450500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| AVILA, MARIA | Agent | 1941 NW 106 TERR, PEMBROKE PINES, FL 33026 |
| Name | Role | Address |
|---|---|---|
| AVILA, JESSIELYNN | Director | 1941 NW 106 TERRACE, PEMBROKE PINES, FL 33026 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000029325 | QUALITY REHAB SERVICES | EXPIRED | 2016-03-21 | 2021-12-31 | No data | 1550 W 84 ST, SUITE 58, HIALEAH, FL, 33014 |
| G14000121546 | KIDWORKS THERAPY | EXPIRED | 2014-12-04 | 2019-12-31 | No data | 8145 WEST 28TH AVE, SUITE 215, HIALEAH, FL, 33016 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-09-27 | AVILA, MARIA | No data |
| REINSTATEMENT | 2017-09-27 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-16 | 1941 NW 106 TERR, PEMBROKE PINES, FL 33026 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-02-05 | 1941 NW 106 Terrace, PEMBROKE PINES, FL 33026 | No data |
| CHANGE OF MAILING ADDRESS | 2014-02-05 | 1941 NW 106 Terrace, PEMBROKE PINES, FL 33026 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-04-25 |
| REINSTATEMENT | 2017-09-27 |
| ANNUAL REPORT | 2016-01-16 |
| ANNUAL REPORT | 2015-03-24 |
| ANNUAL REPORT | 2014-02-05 |
| Off/Dir Resignation | 2013-12-06 |
| ANNUAL REPORT | 2013-01-14 |
| Domestic Profit | 2012-04-26 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
