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TRI-CITY PHYSICAL THERAPY, P.C.

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Company Details

Name: TRI-CITY PHYSICAL THERAPY, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 01 Apr 1998 (27 years ago)
Financial Date End: 30 Apr 2026
Date dissolved: 06 Jul 2024
Entity Number: 378624
Place of Formation: IDAHO
File Number: 378624
ZIP code: 83619
County: Payette County
Mailing Address: STE 1 215 N WHITLEY DR FRUITLAND, ID 83619-2706

Agent

Name Role Address
ROBERT C MONTGOMERY Agent 2160 S TWIN RAPID WAY, BOISE, ID 83709

President

Name Role Address Appointed On
CODY D STEPHENS President 215 N WHITLEY DRIVE, FRUITLAND, ID 83619 2021-04-05

National Provider Identifier

NPI Number:
1093864282

Authorized Person:

Name:
MR. CODY DEE STEPHENS
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2084526399

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006407491 2025-08-19
Dissolution/Revocation - Administrative 0005807129 2024-07-06
Annual Report 0005222756 2023-05-04
Annual Report 0004667099 2022-03-22
Annual Report 0004228928 2021-04-05

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
92500.00
Total Face Value Of Loan:
92500.00

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$92,500
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$92,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$93,346.44
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $92,500

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Date of last update: 02 Sep 2025

Sources: Idaho Secretary of State