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REVIVAL PHYSICAL THERAPY, INC. - Florida Company Profile

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Company Details

Entity Name: REVIVAL PHYSICAL THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
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
Address: 2301 Park Ave, Orange Park, FL, 32073, US
Mail Address: 2301 Park Ave, Orange Park, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

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

National Provider Identifier

NPI Number:
1841243359
Certification Date:
2023-07-10

Authorized Person:

Name:
MRS. LINZY E. GARCIA
Role:
CLINICAL DIRECTOR/ OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
9042640012

Events

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 - -

Documents

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

USAspending Awards / Financial Assistance

Date:
2021-03-31
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
12000.00
Total Face Value Of Loan:
12000.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
19900.00
Total Face Value Of Loan:
19900.00
Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
19900.00
Total Face Value Of Loan:
19900.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$12,000
Date Approved:
2021-03-31
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $11,996
Utilities: $1
Jobs Reported:
3
Initial Approval Amount:
$19,900
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$19,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$20,176.39
Servicing Lender:
Fifth Third Bank
Use of Proceeds:
Payroll: $15,000
Refinance EIDL: $4,900

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Date of last update: 02 Aug 2025

Sources: Florida Department of State