| Entity Name: | COAST PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
COAST PHYSICAL THERAPY, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 30 Jul 1993 (32 years ago) |
| Document Number: | P93000054166 |
| FEI/EIN Number |
593193276
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 500 N. WASHINGTON AVE., SUITE 107, TITUSVILLE, FL, 32796, US |
| Mail Address: | 500 N. WASHINGTON AVE., SUITE 107, TITUSVILLE, FL, 32796, US |
| ZIP code: | 32796 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053483685 | 2006-11-15 | 2024-02-22 | 500 N. WASHINGTON AVE, STE 107, TITUSVILLE, FL, 32796, US | 500 N. WASHINGTON AVE, STE 107, TITUSVILLE, FL, 32796, US | |||||||||||||||||||||||
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| Phone | +1 321-269-0800 |
| Fax | 3213830404 |
Authorized person
| Name | MICHAEL ALAN JOHNSON |
| Role | OWNER/PHYSICAL THERAPIST |
| Phone | 3216072454 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 886365200 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Johnson Michael A | President | 2618 Cherrywood Lane, Titusville, FL, 32780 |
| Johnson Elizabeth A | Secretary | 2618 Cherrywood Lane, Titusville, FL, 32780 |
| JOHNSON MICHAEL A | Agent | 2618 Cherrywood Lane, TITUSVILLE, FL, 32780 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-09-05 | JOHNSON, MICHAEL ALAN | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-05 | 2618 Cherrywood Lane, TITUSVILLE, FL 32780 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2000-09-15 | 500 N. WASHINGTON AVE., SUITE 107, TITUSVILLE, FL 32796 | - |
| CHANGE OF MAILING ADDRESS | 2000-09-15 | 500 N. WASHINGTON AVE., SUITE 107, TITUSVILLE, FL 32796 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| AMENDED ANNUAL REPORT | 2023-09-05 |
| ANNUAL REPORT | 2023-02-22 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-03-13 |
| ANNUAL REPORT | 2019-02-13 |
| ANNUAL REPORT | 2018-01-25 |
| ANNUAL REPORT | 2017-01-23 |
| ANNUAL REPORT | 2016-03-30 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
