| Entity Name: | THERAKIDS PLUS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Aug 1998 (27 years ago) |
| Document Number: | P98000068644 |
| FEI/EIN Number | 593527590 |
| Address: | 16102 N. Florida Avenue, Lutz, FL, 33549-6129, US |
| Mail Address: | 16102 N. Florida Avenue, Lutz, FL, 33549-6129, US |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1760583637 | 2006-09-25 | 2022-10-03 | 16102 N FLORIDA AVE, LUTZ, FL, 335496129, US | 16102 N FLORIDA AVE, LUTZ, FL, 335496129, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-873-1936 |
| Fax | 8138738837 |
Authorized person
| Name | KIMBERLY KATHLENE BOOTH |
| Role | OWNER |
| Phone | 8138731936 |
Taxonomy
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 2355S0801X - Speech-Language Assistant |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA0003850 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | No |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| License Number | SA3850 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 884434800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Booth Kimberly K | Agent | 16102 N. Florida Avenue, Lutz, FL, 335496129 |
| Name | Role | Address |
|---|---|---|
| BOOTH KIMBERLY | Manager | 16102 N. Florida Avenue, Lutz, FL, 335496129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2021-02-05 | Booth, Kimberly Kathlene | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-05 | 16102 N. Florida Avenue, Lutz, FL 33549-6129 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-23 | 16102 N. Florida Avenue, Lutz, FL 33549-6129 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-23 | 16102 N. Florida Avenue, Lutz, FL 33549-6129 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-07-12 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-06-13 |
| ANNUAL REPORT | 2019-06-14 |
| ANNUAL REPORT | 2018-05-18 |
| ANNUAL REPORT | 2017-04-06 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-05-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
