| Entity Name: | FUNCTIONAL REHABILITATION, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 02 Jan 1997 (28 years ago) |
| Document Number: | P97000000313 |
| FEI/EIN Number | 65-0719947 |
| Address: | 7491 N FEDERAL HWY, SUITE C- 16 AND C-17, Boca Raton, FL 33487 |
| Mail Address: | 7491 N FEDERAL HWY, SUITE C- 16 AND C-17, Boca Raton, FL 33487 |
| ZIP code: | 33487 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851454854 | 2006-12-19 | 2011-10-04 | PO BOX 810835, BOCA RATON, FL, 334810835, US | 3416 S FEDERAL HWY, DELRAY BEACH, FL, 334833227, US | |||||||||||||||||||||||||
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| Phone | +1 561-372-9251 |
| Fax | 5613729251 |
| Phone | +1 561-994-8434 |
| Fax | 5619890732 |
Authorized person
| Name | DOMENIC J. POMPILE |
| Role | PRESIDENT |
| Phone | 5613729251 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER # |
| Number | Y915T |
| State | FL |
| Name | Role | Address |
|---|---|---|
| POMPILE, DOMENIC J | Agent | 6987 NW 3rd Ave, Boca Raton, FL 33487 |
| Name | Role | Address |
|---|---|---|
| POMPILE, DOMENIC J | President | 6987 NW 3rd Ave, Boca Raton, FL 33487 |
| Name | Role | Address |
|---|---|---|
| POMPILE, DOMENIC J | Treasurer | 6987 NW 3rd Ave, Boca Raton, FL 33487 |
| Name | Role | Address |
|---|---|---|
| POMPILE, DOMENIC J | Director | 6987 NW 3rd Ave, Boca Raton, FL 33487 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G12000088998 | VADO THERAPY | ACTIVE | 2012-09-10 | 2027-12-31 | No data | 7491 N FEDERAL HWY SUITE C-16 AND C-17, BOCA RATON, FL, 33487 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-02 | 6987 NW 3rd Ave, Boca Raton, FL 33487 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-07 | 7491 N FEDERAL HWY, SUITE C- 16 AND C-17, Boca Raton, FL 33487 | No data |
| CHANGE OF MAILING ADDRESS | 2022-06-07 | 7491 N FEDERAL HWY, SUITE C- 16 AND C-17, Boca Raton, FL 33487 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-09-05 | POMPILE, DOMENIC J | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-03-02 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-03-18 |
| ANNUAL REPORT | 2020-04-30 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-04-11 |
| ANNUAL REPORT | 2017-03-25 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
