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FOOTHILLS PHYSICAL THERAPY, P.A.

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Company Details

Name: FOOTHILLS PHYSICAL THERAPY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 25 Nov 2002 (23 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 445788
Place of Formation: IDAHO
File Number: 445788
ZIP code: 83702
County: Ada County
Mailing Address: STE 230 1673 W SHORELINE DR BOISE, ID 83702-6750

Agent

Name Role Address
TAWNYA RAISTRICK Agent 1673 W SHORELINE DR, STE 201, BOISE, ID 83702-6750

Treasurer

Name Role Address Appointed On
TAWNYA RAISTRICK Treasurer 1673 W SHORELINE DR, BOISE, ID 83702-6752 2020-10-16

Vice President

Name Role Address Appointed On Resigned On
JERRETT K HOPSTAD Vice President 1673 W SHORELINE DR, BOISE, ID 83702-6752 2023-10-31 2023-10-31

Director

Name Role Address Appointed On Resigned On
JAMES HAMMER Director 1673 W SHORELINE DR, BOISE, ID 83702-6752 2023-10-31 2023-10-31
BRET BASTIAN Director 1673 W SHORELINE DR, BOISE, ID 83702-6752 2023-10-31 2023-10-31
BRIAN O'NEAL Director 1673 W SHORELINE DR, BOISE, ID 83702-6750 2023-10-31 2023-10-31

Secretary

Name Role Address Appointed On Resigned On
NICHOLAUS WOODS Secretary 1673 W SHORELINE DR, BOISE, ID 83702-6752 2023-10-31 2023-10-31

President

Name Role Address Appointed On Resigned On
J. BROOKS ABERG President 1673 W SHORELINE DR, BOISE, ID 83702-6752 2023-10-31 2023-10-31

National Provider Identifier

NPI Number:
1851457675

Authorized Person:

Name:
MR. BROOKS ABERG
Role:
SECRATARY
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2083434706

Form 5500 Series

Employer Identification Number (EIN):
200022831
Plan Year:
2024
Number Of Participants:
38
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
35
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
33
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
30
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
29
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005994056 2024-11-26
Annual Report 0005453199 2023-10-31
Annual Report Amendment 0004994644 2022-11-16
Annual Report 0004989434 2022-11-10
Annual Report 0004437165 2021-10-04

USAspending Awards / Financial Assistance

Date:
2020-04-09
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:
376800.00
Total Face Value Of Loan:
376800.00

Paycheck Protection Program

Jobs Reported:
32
Initial Approval Amount:
$376,800
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$376,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$379,308.56
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $282,600
Utilities: $31,274
Rent: $31,651
Healthcare: $31275

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Date of last update: 22 Jul 2025

Sources: Idaho Secretary of State