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PROACTIVE PHYSICAL THERAPY, P.C.

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Company Details

Name: PROACTIVE PHYSICAL THERAPY, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Dec 1999 (26 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 402814
Place of Formation: IDAHO
File Number: 402814
ZIP code: 83318
County: Cassia County
Mailing Address: STE A 2181 OVERLAND AVE BURLEY, ID 83318-2927

Agent

Name Role Address
RAULAN YOUNG M.P.T. Agent 2181 OVERLAND AVE, BURLEY, ID 83318

President

Name Role Address Appointed On
raulan young President 1123 E. 16TH ST, BURLEY, ID 83318-2927 2024-11-04

National Provider Identifier

NPI Number:
1609093434

Authorized Person:

Name:
RAULAN YOUNG
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2086774023

Filing

Filing Name Filing Number Filing date
Annual Report 0005961468 2024-11-04
Application for Reinstatement 0005745129 2024-05-22
Dissolution/Revocation - Administrative 0004208468 2021-03-13
Annual Report 0003740357 2020-01-08
Annual Report 0003363548 2018-12-06

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
24000.00
Total Face Value Of Loan:
24000.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$24,000
Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$24,188.71
Servicing Lender:
First Federal Savings Bank of Twin Falls
Use of Proceeds:
Payroll: $24,000

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Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State