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Adventure Pediatric Therapy, LLC

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Company Details

Name: Adventure Pediatric Therapy, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Aug 2021 (4 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 4392087
Place of Formation: IDAHO
File Number: 778927
ZIP code: 83706
County: Ada County
Principal Address: APT 11 1500 S LOGGERS POND WAY BOISE, ID 83706
Mailing Address: 9434 W FAIRVIEW AVE BOISE, ID 83704-8101

Agent

Name Role Address
Catlin Jensen Agent 9434 WEST FAIRVIEW AVENUE, BOISE, ID 83704

Manager

Name Role Address Appointed On
Catlin Jensen Manager 770 S 13TH ST, BOISE, ID 83707 2022-07-18

National Provider Identifier

NPI Number:
1558014233
Certification Date:
2023-06-19

Authorized Person:

Name:
CATLIN JENSEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
872420972
Plan Year:
2024
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006336764 2025-07-03
Annual Report 0005796099 2024-07-03
Statement of Change of Business Mailing Address 0005725630 2024-05-06
Change of Registered Office/Agent/Both (by Entity) 0005725634 2024-05-06
Statement of Change of Business Mailing Address 0005315466 2023-07-10

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State