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PT MEDICAL, LLC

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Company Details

Name: PT MEDICAL, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Apr 2013 (12 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 380610
Place of Formation: IDAHO
File Number: 380610
ZIP code: 83404
County: Bonneville County
Principal Address: 2105 CORONADO ST IDAHO FALLS, ID 83404
Mailing Address: 955 PIER VIEW DR IDAHO FALLS, ID 83402-4918

Agent

Name Role Address
GUARDIAN REGISTERED AGENTS LLC Agent 955 PIER VIEW DR, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
Stephen Bird Manager 427 SUNTERRA DR., IDAHO FALLS, ID 83404 2021-04-30

National Provider Identifier

NPI Number:
1073956306

Authorized Person:

Name:
STEPHEN BIRD
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
8666614322

Filing

Filing Name Filing Number Filing date
Annual Report 0006245682 2025-05-08
Annual Report 0005750822 2024-05-30
Annual Report 0005213262 2023-04-27
Annual Report 0004718973 2022-04-28
Annual Report 0004261009 2021-04-30

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Date of last update: 29 Jun 2025

Sources: Idaho Secretary of State