| Name: | Elite Physical Therapy, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 24 Jan 2008 (17 years ago) |
| Date of dissolution: | 07 Jan 2019 |
| Entity Number: | 000-255-931 |
| Register Number: | 000255931 |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | LOXLEY, AL |
| Registered Office Street Address: | 25580 OVERLOOK DRLOXLEY, AL 36551 |
| Registered Office Street Address ZIP Code: | 36551 |
| Authorized Capital: | $100 |
Activities
PHYSICAL THERAPY/REHAB SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932386448 | 2008-01-28 | 2008-06-12 | PO BOX 7627, MOBILE, AL, 366700627, US | 30941 MILL LANE, SUITE D, DAPHNE, AL, 36526, US | |||||||||||||||||||||
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| Phone | +1 251-625-2170 |
| Fax | 2516252172 |
| Phone | +1 251-533-3275 |
Authorized person
| Name | MRS. AMBERLY C MASON |
| Role | OWNER |
| Phone | 2514252170 |
Taxonomy
| Taxonomy Code | 261QR0401X - Comprehensive Outpatient Rehabilitation Facility (CORF) |
| License Number | PTH4377 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MASON, AMBERLY COOPER | Agent |
| Name | Role | Address |
|---|---|---|
| MASON, CHRISTOPHER L | Incorporator | 13745 LANDVIEW DRIVECOKER, AL 35452 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
