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PHYSICAL THERAPY SPECIALISTS OF IDAHO, LLC

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Company Details

Name: PHYSICAL THERAPY SPECIALISTS OF IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 17 May 2013 (12 years ago)
Financial Date End: 31 May 2026
Entity Number: 384306
Place of Formation: IDAHO
File Number: 384306
ZIP code: 83201
County: Bannock County
Principal Address: 675 YELLOWSTONE AVE SUITE 1 POCATELLO, ID 83201
Mailing Address: STE 1 675 YELLOWSTONE AVE POCATELLO, ID 83201-4511

Agent

Name Role Address
COREY RASMUSSEN Agent 675 YELLOWSTONE AVE, SUITE 1, POCATELLO, ID 83201

Member

Name Role Address Appointed On
GRIZZLY CORP Member 675 YELLOWSTONE AVE STE 1, POCATELLO, ID 83201 2021-04-07

National Provider Identifier

NPI Number:
1548699465

Authorized Person:

Name:
COREY RASMUSSEN
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006183639 2025-04-03
Annual Report 0005728920 2024-05-07
Annual Report 0005205822 2023-04-19
Annual Report 0004704564 2022-04-19
Annual Report 0004238871 2021-04-07

USAspending Awards / Financial Assistance

Date:
2020-04-19
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
16
Initial Approval Amount:
$85,200
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$85,200
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$86,161.71
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $63,900
Rent: $21,300

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Date of last update: 03 Sep 2025

Sources: Idaho Secretary of State