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Northwest Pediatric Therapy, LLC

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Company Details

Name: Northwest Pediatric Therapy, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 May 2020 (5 years ago)
Financial Date End: 31 May 2026
Entity Number: 3878160
Place of Formation: IDAHO
File Number: 709877
ZIP code: 83835
County: Kootenai County
Principal Address: 1130 W HAYDEN AVE STE 103 HAYDEN, ID 83835
Mailing Address: STE 103 1130 W HAYDEN AVE HAYDEN, ID 83835-8720

Agent

Name Role Address
Megan McMaster-Stine Agent 1130 W HAYDEN AVE, SUITE 103, HAYDEN, ID 83835

Member

Name Role Address Appointed On Resigned On
Neato Neuro, LLC Member 1130 W HAYDEN AVE STE 104, HAYDEN, ID 83835 2021-05-04 2024-04-24
Northwest Pediatric Speech Therapy, LLC Member 1130 W HAYDEN AVE STE 103, HAYDEN, ID 83835 2024-04-24 2024-04-24
Casper Enterprises Incorporated Member 1130 W HAYDEN AVE STE 104, HAYDEN, ID 83835 2024-04-24 No data

National Provider Identifier

NPI Number:
1528846557

Authorized Person:

Name:
MR. WILLIAM STRONG
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225XP0200X - Pediatric Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Fax:
2089080044

Filing

Filing Name Filing Number Filing date
Annual Report 0006209965 2025-04-16
Annual Report Amendment 0006071026 2025-01-15
Annual Report 0005703196 2024-04-24
Change of Registered Office/Agent/Both (by Entity) 0005669352 2024-04-03
Annual Report 0005221472 2023-05-03

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State