| Entity Name: | NISHA BHATT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 11 Jun 2014 (11 years ago) |
| Document Number: | P14000050514 |
| FEI/EIN Number | 47-1185354 |
| Address: | 1499 W PALMETTO PARK RD, STE 212, Boca Raton, FL, 33486, US |
| Mail Address: | 1499 W PALMETTO PARK RD, STE 212, Boca Raton, FL, 33486, US |
| ZIP code: | 33486 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932853843 | 2022-02-09 | 2022-05-17 | 110 SW 9TH AVE, BOCA RATON, FL, 334864520, US | 14565 SIMS RD, DELRAY BEACH, FL, 334848549, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 561-494-4499 |
| Fax | 5617057501 |
Authorized person
| Name | MR. NICK BHATT |
| Role | BUSINESS |
| Phone | 5614944499 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106049200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BHATT NISHA | Agent | 399 West Palmetto Park Road, Boca Raton, FL, 33432 |
| Name | Role | Address |
|---|---|---|
| BHATT NISHA | President | 1499 W PALMETTO PARK RD, STE 212, Boca Raton, FL, 33486 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000099915 | LITTLE CHAMPS THERAPY & YOGA | ACTIVE | 2016-09-13 | 2026-12-31 | No data | 1499 W PALMETTO PARK RD STE 212, BOCA RATON, FL, 33486 |
| G16000024577 | LITTLE CHAMPS YOGA AND PHYSICAL THERAPY | EXPIRED | 2016-03-07 | 2021-12-31 | No data | 110 SW 9TH AVE, BOCA RATON, FL, 33486 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-12-27 | 1499 W PALMETTO PARK RD, STE 212, Boca Raton, FL 33486 | No data |
| CHANGE OF MAILING ADDRESS | 2024-12-27 | 1499 W PALMETTO PARK RD, STE 212, Boca Raton, FL 33486 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-18 | 399 West Palmetto Park Road, STE 202, Boca Raton, FL 33432 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-18 | 399 West Palmetto Park Road, STE 202, Boca Raton, FL 33432 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-18 | 399 West Palmetto Park Road, STE 202, Boca Raton, FL 33432 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-18 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-19 |
| ANNUAL REPORT | 2020-05-09 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-03-27 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-04-07 |
| ANNUAL REPORT | 2015-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
