Search icon

ELLIS PHYSICAL THERAPY, P.A.

Company claim

Is this your business?

Get access!

Company Details

Name: ELLIS PHYSICAL THERAPY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 30 Jul 1993 (32 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 317881
Place of Formation: IDAHO
File Number: 317881
ZIP code: 83406
County: Bonneville County
Mailing Address: JAY T ELLIS 2195 MIDWAY AVE AMMON, ID 83406-6766

Agent

Name Role Address
JAY T ELLIS Agent 2195 MIDWAY DRIVE, JAY T ELLIS, AMMON, ID 83406-7666

President

Name Role Address Appointed On
JAY T ELLIS President 2195 MIDWAY DR, , 2021-06-03

National Provider Identifier

NPI Number:
1518203249

Authorized Person:

Name:
TERRI L LARSEN
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2085230436

Form 5500 Series

Employer Identification Number (EIN):
820463153
Plan Year:
2011
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
12
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005759655 2024-06-04
Annual Report 0005292561 2023-06-25
Annual Report 0004768221 2022-06-03
Annual Report 0004302912 2021-06-03
Annual Report 0003889264 2020-06-03

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
93900
Current Approval Amount:
93900
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
94715.52

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 28 Jun 2025

Sources: Idaho Secretary of State