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NORTHWEST PHYSICAL MEDICINE AND REHABILITATION, PLLC

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Company Details

Name: NORTHWEST PHYSICAL MEDICINE AND REHABILITATION, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Mar 2008 (17 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 227781
Place of Formation: IDAHO
File Number: 227781
Principal Address: PO BOX 45996 BOISE, ID 83711
Mailing Address: PO BOX 45996 BOISE, ID 83711-5996

Manager

Name Role Address Appointed On
Kevin Krafft MD Manager PO BOX 45996, BOISE, ID 83711-5996 2021-03-03

Agent

Name Role Address
KEVIN R KRAFFT MD Agent 6140 W CURTISIAN STE 400, BOISE, ID 83704

National Provider Identifier

NPI Number:
1629398821

Authorized Person:

Name:
KEVIN R KRAFFT
Role:
M.D.
Phone:

Taxonomy:

Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
Yes

Contacts:

Fax:
2083672968

Filing

Filing Name Filing Number Filing date
Annual Report 0006141165 2025-03-04
Annual Report 0005580929 2024-02-03
Annual Report 0005132132 2023-03-03
Annual Report 0004704791 2022-04-19
Annual Report 0004192402 2021-03-03

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
20833.32
Total Face Value Of Loan:
20833.32

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$20,833.32
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,833.32
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$21,049.18
Servicing Lender:
Capital Educators FCU
Use of Proceeds:
Payroll: $20,833.32

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State