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BURKE COLLINS THERAPY, INC.

Company Details

Entity Name: BURKE COLLINS THERAPY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 11 Jun 1996 (29 years ago)
Document Number: P96000050378
FEI/EIN Number 593396831
Address: 4401 W. Kennedy Blvd, TAMPA, FL, 33609, US
Mail Address: P.O. BOX 3147, TAMPA, FL, 33601-3147, US
ZIP code: 33609
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093214736 2018-02-08 2018-02-08 PO BOX 3147, TAMPA, FL, 336013147, US 11809 N DALE MABRY HWY, TAMPA, FL, 336183505, US

Contacts

Phone +1 813-253-3092
Fax 8132599516

Authorized person

Name CARLETON BURKE COLLINS
Role CLINIC DIRECTOR
Phone 8132533092

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes

Agent

Name Role Address
BACK TO WORK PHYSICAL THERAPY Agent 4401 W. Kennedy Blvd, TAMPA, FL, 33609

President

Name Role Address
COLLINS CARLETON B President PO BOX 3147, TAMPA, FL, 33601

Director

Name Role Address
COLLINS CARLETON B Director PO BOX 3147, TAMPA, FL, 33601

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G02141900526 BACK TO WORK PHYSICAL THERAPY ACTIVE 2002-05-21 2027-12-31 No data P.O. BOX 3147, TAMPA, FL, 33601-3147

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-06 4401 W. Kennedy Blvd, Suite 100, TAMPA, FL 33609 No data
REGISTERED AGENT ADDRESS CHANGED 2023-02-06 4401 W. Kennedy Blvd, Suite 100, TAMPA, FL 33609 No data
REGISTERED AGENT NAME CHANGED 2007-02-25 BACK TO WORK PHYSICAL THERAPY No data
CHANGE OF MAILING ADDRESS 2003-01-13 4401 W. Kennedy Blvd, Suite 100, TAMPA, FL 33609 No data

Documents

Name Date
ANNUAL REPORT 2024-02-10
ANNUAL REPORT 2023-02-06
ANNUAL REPORT 2022-01-19
ANNUAL REPORT 2021-01-22
ANNUAL REPORT 2020-02-20
ANNUAL REPORT 2019-03-17
ANNUAL REPORT 2018-03-27
ANNUAL REPORT 2017-01-22
ANNUAL REPORT 2016-03-27
ANNUAL REPORT 2015-02-16

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9824297004 2020-04-09 0455 PPP 1220 DALE MABRY HWY, TAMPA, FL, 33629-5019
Loan Status Date 2021-04-15
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 185777
Loan Approval Amount (current) 185777
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address TAMPA, HILLSBOROUGH, FL, 33629-5019
Project Congressional District FL-14
Number of Employees 17
NAICS code 621111
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 187431.18
Forgiveness Paid Date 2021-03-09
3490288402 2021-02-05 0455 PPS 1220 S Dale Mabry Hwy Ste 101, Tampa, FL, 33629-5019
Loan Status Date 2022-02-15
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 197260.69
Loan Approval Amount (current) 197260.69
Undisbursed Amount 0
Franchise Name -
Lender Location ID 17715
Servicing Lender Name The Bank of Tampa
Servicing Lender Address 601 Bayshore Blvd, TAMPA, FL, 33606-2747
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Tampa, HILLSBOROUGH, FL, 33629-5019
Project Congressional District FL-14
Number of Employees 18
NAICS code 621399
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 17715
Originating Lender Name The Bank of Tampa
Originating Lender Address TAMPA, FL
Gender Male Owned
Veteran Non-Veteran
Forgiveness Amount 199114.4
Forgiveness Paid Date 2022-01-19

Date of last update: 02 Feb 2025

Sources: Florida Department of State