| Entity Name: | MYOFASCIAL THERAPY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
MYOFASCIAL THERAPY INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Oct 1999 (25 years ago) |
| Document Number: | P99000094685 |
| FEI/EIN Number |
650957598
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5691 NAPLES BLVD, NAPLES, FL, 34109 |
| Mail Address: | 6593 AUTUMN WOODS BOULEVARD, NAPLES, FL, 34109 |
| ZIP code: | 34109 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104967116 | 2007-02-11 | 2024-10-24 | 5691 NAPLES BLVD, NAPLES, FL, 341092023, US | 5691 NAPLES BLVD, NAPLES, FL, 341092023, US | |||||||||||||||||||||||||
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| Phone | +1 239-592-6100 |
| Fax | 2395926156 |
Authorized person
| Name | MS. MARY LYNN FELLENZ |
| Role | PRESIDENT |
| Phone | 2395926100 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT 7400 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 811167700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FELLENZ MARY L | President | 6593 AUTUMN WOODS BLVD, NAPLES, FL, 34109 |
| Molumby Karen J | Vice President | 6593 AUTUMN WOODS BOULEVARD, NAPLES, FL, 34109 |
| FELLENZ MARY L | Agent | 6593 AUTUMN WOODS BOULEVARD, NAPLES, FL, 34109 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2006-03-04 | 5691 NAPLES BLVD, NAPLES, FL 34109 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-26 |
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-02-18 |
| ANNUAL REPORT | 2016-02-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8439088801 | 2021-04-22 | 0455 | PPS | 5691 Naples Blvd, Naples, FL, 34109-2023 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1149177808 | 2020-05-01 | 0455 | PPP | 5691 NAPLES BLVD, NAPLES, FL, 34109 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Feb 2025
Sources: Florida Department of State
