Search icon

NORTHRUP PHYSICAL THERAPY, PC

Company claim

Is this your business?

Get access!

Company Details

Name: NORTHRUP PHYSICAL THERAPY, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 22 Mar 2002 (23 years ago)
Financial Date End: 31 Mar 2019
Date dissolved: 14 Jul 2019
Entity Number: 436041
Place of Formation: IDAHO
File Number: 436041
ZIP code: 83202
County: Bannock County
Mailing Address: 4650 HAWTHORNE RD STE 2B CHUBBUCK, ID 83202

Agent

Name Role Address
DERRICK NORTHRUP Agent 4650 HAWTHORNE RD STE 2B, CHUBBUCK, ID 83202

National Provider Identifier

NPI Number:
1629146857

Authorized Person:

Name:
DERRICK NORTHRUP
Role:
OWNER PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2082366695

Form 5500 Series

Employer Identification Number (EIN):
731634647
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
5
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003566847 2019-07-14
Application for Reinstatement 0002853591 2018-09-21
Application for Reinstatement 0000897412 2018-09-07
Application for Reinstatement 0002853586 2014-07-09
Application for Reinstatement 0000897411 2014-07-07

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State