| Entity Name: | FUNCTIONAL MOVEMENT REHAB AND FITNESS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Profit Corporation
FUNCTIONAL MOVEMENT REHAB AND FITNESS, INC. is structured as a Profit Corporation, also known as a C-Corporation, a business structure recognized as a separate legal entity from its owners. This structure offers the benefit of potential tax advantages and ease of raising capital through the issuance of stock. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 19 Sep 2012 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P12000079598 |
| FEI/EIN Number |
46-1025069
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2459 CARDINAL LANE, PALM BEACH GARDENS, FL 33410 |
| Mail Address: | 2459 CARDINAL LANE, PALM BEACH GARDENS, FL 33410 |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083968929 | 2012-10-30 | 2015-10-19 | 2459 CARDINAL LN, PALM BEACH GARDENS, FL, 334101223, US | 2459 CARDINAL LN, PALM BEACH GARDENS, FL, 334101223, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 561-723-8437 |
Authorized person
| Name | MRS. TERRA YASKIN |
| Role | VICE PRESIDENT |
| Phone | 5617238437 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT17788 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 2251S0007X - Sports Physical Therapist |
| License Number | PT17788 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| License Number | PT17788 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT9985 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225XH1200X - Hand Occupational Therapist |
| License Number | 1061101186 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICARE PTAN |
| Number | BN755Z |
| State | FL |
| Issuer | MEDICARE PTAN |
| Number | EN537Z |
| State | FL |
| Name | Role | Address |
|---|---|---|
| YASKIN, JEFFREY A | Agent | 2459 CARDINAL LANE, PALM BEACH GARDENS, FL 33410 |
| YASKIN, JEFFREY A | President | 2459 CARDINAL LANE, PALM BEACH GARDENS, FL 33410 |
| YASKIN, TERRA M | Vice President | 2459 CARDINAL LANE, PALM BEACH GARDENS, FL 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-03-01 | 2459 CARDINAL LANE, PALM BEACH GARDENS, FL 33410 | - |
| NAME CHANGE AMENDMENT | 2012-12-03 | FUNCTIONAL MOVEMENT REHAB AND FITNESS, INC. | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-01-30 |
| ANNUAL REPORT | 2015-01-21 |
| ANNUAL REPORT | 2014-03-01 |
| ANNUAL REPORT | 2013-02-12 |
| Name Change | 2012-12-03 |
| Domestic Profit | 2012-09-19 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
