| Entity Name: | REVIVAL PHYSICAL THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
REVIVAL 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: | 16 Jun 1995 (30 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 07 May 2018 (7 years ago) |
| Document Number: | P95000047303 |
| FEI/EIN Number |
593325178
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 2301 Park Ave, Orange Park, FL, 32073, US |
| Mail Address: | 2301 Park Ave, Orange Park, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841243359 | 2006-05-18 | 2023-07-10 | 2301 PARK AVE STE 1, ORANGE PARK, FL, 320735565, US | 2301 PARK AVE STE 1, ORANGE PARK, FL, 320735565, US | |||||||||||||||||||||
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| Phone | +1 904-264-3005 |
| Fax | 9042640012 |
Authorized person
| Name | MRS. LINZY E. GARCIA |
| Role | CLINICAL DIRECTOR/ OWNER |
| Phone | 9042643005 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 884338400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Garcia Linzy E | President | 2301 Park Ave, Orange Park, FL, 32073 |
| Garcia Linzy E | Vice President | 2301 Park Ave, Orange Park, FL, 32073 |
| Garcia Linzy E | Treasurer | 2301 Park Ave, Orange Park, FL, 32073 |
| GARCIA JEANNETT | Secretary | 2301 Park Ave, Orange Park, FL, 32073 |
| Garcia LINZY E | Agent | 4744 SADDLEHORN TRAIL, MIDDLEBURG, FL, 32068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-02 | 2301 Park Ave, 201, Orange Park, FL 32073 | - |
| CHANGE OF MAILING ADDRESS | 2021-03-02 | 2301 Park Ave, 201, Orange Park, FL 32073 | - |
| AMENDMENT AND NAME CHANGE | 2018-05-07 | REVIVAL PHYSICAL THERAPY, INC. | - |
| REGISTERED AGENT NAME CHANGED | 2018-01-23 | Garcia, LINZY E | - |
| REGISTERED AGENT ADDRESS CHANGED | 2002-04-30 | 4744 SADDLEHORN TRAIL, MIDDLEBURG, FL 32068 | - |
| NAME CHANGE AMENDMENT | 1997-06-12 | HEALTHEX PHYSICAL THERAPY, INC. | - |
| REINSTATEMENT | 1996-09-24 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2023-02-07 |
| ANNUAL REPORT | 2022-02-17 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-02-18 |
| ANNUAL REPORT | 2019-03-05 |
| Amendment and Name Change | 2018-05-07 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-01-09 |
| Reg. Agent Change | 2016-11-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4067828700 | 2021-03-31 | 0491 | PPS | 1805 Eastwest Pkwy, Fleming Island, FL, 32003-6337 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8245137308 | 2020-05-01 | 0491 | PPP | 1805 EASTWEST PKWY, FLEMING ISLAND, FL, 32003 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Apr 2025
Sources: Florida Department of State
