| Entity Name: | REHAB KINETICS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Jul 1999 (26 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | P99000062071 |
| FEI/EIN Number | 593589120 |
| Address: | 118 Corkwood Blvd, Homosassa, FL, 34446, US |
| Mail Address: | 4142 Mariner Blvd., Spring Hill, FL, 34609, US |
| ZIP code: | 34446 |
| County: | Citrus |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1417007725 | 2007-01-11 | 2008-01-28 | 11535 CORTEZ BLVD, BROOKSVILLE, FL, 346137373, US | 11535 CORTEZ BLVD, BROOKSVILLE, FL, 346137373, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 352-592-0010 |
| Fax | 3525920011 |
Authorized person
| Name | MRS. NANCY ILAGAN |
| Role | OWNER |
| Phone | 3525920010 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT0010736 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT13514 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PT21267 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| License Number | PTA19025 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| License Number | PTA1172 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 225200000X - Physical Therapy Assistant |
| License Number | PTA20103 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA3137 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA8079 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SZ3883 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA556 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA3315 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SA3275 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| License Number | SZ2535 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BCBS GROUP NUMBER |
| Number | QS4 |
| State | FL |
| Issuer | MEDICAID |
| Number | 886048300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ILAGAN FE NANCY B | Agent | 118 Corkwood Blvd, Homosassa, FL, 34446 |
| Name | Role | Address |
|---|---|---|
| ILAGAN FE NANCY B | Director | 118 Corkwood Blvd, Homosassa, FL, 34446 |
| Name | Role | Address |
|---|---|---|
| ILAGAN FE NANCY B | President | 118 Corkwood Blvd, Homosassa, FL, 34446 |
| Name | Role | Address |
|---|---|---|
| ILAGAN FE NANCY B | Secretary | 118 Corkwood Blvd, Homosassa, FL, 34446 |
| Name | Role | Address |
|---|---|---|
| ILAGAN FE NANCY B | Treasurer | 118 Corkwood Blvd, Homosassa, FL, 34446 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000065536 | SUNCOAST PHYSICAL THERAPY SERVICES | EXPIRED | 2019-06-07 | 2024-12-31 | No data | 4142 MARINER BLVD. #134, SPRING HILL, FL, 34609 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-05 | 118 Corkwood Blvd, Homosassa, FL 34446 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-05 | 118 Corkwood Blvd, Homosassa, FL 34446 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-05 | 118 Corkwood Blvd, Homosassa, FL 34446 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-11-09 | ILAGAN, FE NANCY B | No data |
| REINSTATEMENT | 2017-11-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REINSTATEMENT | 2012-04-26 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-04-20 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-05 |
| REINSTATEMENT | 2017-11-09 |
| ANNUAL REPORT | 2016-04-05 |
| ANNUAL REPORT | 2015-02-17 |
| ANNUAL REPORT | 2014-03-21 |
| ANNUAL REPORT | 2013-01-21 |
| REINSTATEMENT | 2012-04-26 |
| ANNUAL REPORT | 2010-04-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
