Search icon

IDAHO THERAPY SOURCE, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: IDAHO THERAPY SOURCE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Feb 2009 (17 years ago)
Financial Date End: 28 Feb 2026
Date dissolved: 13 May 2025
Entity Number: 254399
Place of Formation: IDAHO
File Number: 254399
ZIP code: 83687
County: Canyon County
Mailing Address: 16171 N BRINSON ST NAMPA, ID 83687-5509

Agent

Name Role Address
CHRISTINE M DICKENS Agent 16171 N BRINSON ST, NAMPA, ID 83687

Member

Name Role Address Appointed On
Christine M Dickens Member 16171 N BRINSON STREET, NAMPA, ID 83687 2020-07-09

National Provider Identifier

NPI Number:
1235461732

Authorized Person:

Name:
CHRISTINE M DICKENS
Role:
SOLE MEMBER/OT
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006302791 2025-06-06
Dissolution/Revocation - Administrative 0006250230 2025-05-13
Annual Report 0005664665 2024-04-01
Annual Report 0005099501 2023-02-07
Annual Report 0004621534 2022-02-23

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
7000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-15
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:
57500.00
Total Face Value Of Loan:
57500.00
Date:
2014-05-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
40000.00
Total Face Value Of Loan:
40000.00
Date:
2014-04-24
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
-10000.00
Total Face Value Of Loan:
171000.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$57,500
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$57,500
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$58,029.32
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $57,500

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 03 Aug 2025

Sources: Idaho Secretary of State