| Entity Name: | PT, RPT, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 24 Sep 1997 (27 years ago) |
| Date of dissolution: | 01 Oct 2004 (20 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 01 Oct 2004 (20 years ago) |
| Document Number: | P97000083398 |
| FEI/EIN Number | 650781821 |
| Address: | 920 OPAL TERRACE, WESTON, FL, 33326, US |
| Mail Address: | 920 OPAL TERRACE, FORT LAUDERDALE, FL, 33326, US |
| ZIP code: | 33326 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518055722 | 2006-10-11 | 2020-08-22 | 1931 SABAL PALM DR, APT 103, DAVIE, FL, 33324, US | 1931 SABAL PALM DR, APT. 103, DAVIE, FL, 333245960, US | |||||||||||||||||||||||||||
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| Phone | +1 954-370-9700 |
| Fax | 9543709700 |
| Phone | +1 954-610-5620 |
Authorized person
| Name | MS. PHYLLIS E TANZER |
| Role | PRESIDENT |
| Phone | 9543709700 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT6667 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 8845531 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| TANZER PHYLLIS | Agent | 920 OPAL TERRACE, WESTON, FL, 33326 |
| Name | Role | Address |
|---|---|---|
| TANZER PHYLLIS | Director | 920 OPAL TERRACE, WESTON, FL, 33326 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 1999-07-09 | 920 OPAL TERRACE, WESTON, FL 33326 | No data |
| CHANGE OF MAILING ADDRESS | 1999-07-09 | 920 OPAL TERRACE, WESTON, FL 33326 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 1999-07-09 | 920 OPAL TERRACE, WESTON, FL 33326 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2003-02-06 |
| ANNUAL REPORT | 2002-03-05 |
| ANNUAL REPORT | 2001-01-30 |
| ANNUAL REPORT | 2000-01-21 |
| ANNUAL REPORT | 1999-07-09 |
| ANNUAL REPORT | 1998-06-03 |
| Domestic Profit Articles | 1997-09-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
