| Entity Name: | AKTIVE MOTION PHYSICAL THERAPY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 26 Jul 2017 (8 years ago) |
| Document Number: | P17000063274 |
| FEI/EIN Number | 82-2302459 |
| Address: | 4766 Golden Gate PKWY #4, NAPLES, FL 34116 |
| Mail Address: | 343 5th Street S.W, NAPLES, FL 34117 |
| ZIP code: | 34116 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710482948 | 2018-03-28 | 2024-08-19 | 343 5TH ST SW, NAPLES, FL, 341172113, US | 4766 GOLDEN GATE PKWY STE 4, NAPLES, FL, 341166935, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-672-0174 |
| Fax | 2393074116 |
| Phone | +1 239-280-0368 |
Authorized person
| Name | JEAN DANIEL DORNEVIL |
| Role | PHYSICAL THERAPIST/OWNER |
| Phone | 2396720174 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2000X - Physical Therapy Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QP3300X - Pain Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| License Number | PT30933 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Is Primary | No |
| Taxonomy Code | 261QR0800X - Recovery Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DORNEVIL, JEAN | Agent | 1250 9th Street North, Suite 204, Naples, FL 34102 |
| Name | Role | Address |
|---|---|---|
| DORNEVIL, JEAN | President | 1250 9TH STREET N.,, SUITE 204 NAPLES, FL 34102 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-10 | 4766 Golden Gate PKWY #4, NAPLES, FL 34116 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-10 | 4766 Golden Gate PKWY #4, NAPLES, FL 34116 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-08 | 1250 9th Street North, Suite 204, Naples, FL 34102 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-01-31 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-07-09 |
| Domestic Profit | 2017-07-26 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
