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PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, INC.

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Company Details

Name: PHYSICAL THERAPY & SPORTS MEDICINE INSTITUTE, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Sep 2004 (21 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 475766
Place of Formation: IDAHO
File Number: 475766
ZIP code: 83835
County: Kootenai County
Mailing Address: PO BOX 609 HAYDEN, ID 83835-0609

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

President

Name Role Address Appointed On
MICHAEL WHITING President 11388 N CATTLE DR, HAYDEN, ID 83835 2020-08-03

Secretary

Name Role Address Appointed On
SAMANTHA WHITING Secretary 11388 N CATTLE DR, HAYDEN, ID 83835 2023-08-11

National Provider Identifier

NPI Number:
1184717696

Authorized Person:

Name:
MICHAEL A WHITING
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2087654340

Filing

Filing Name Filing Number Filing date
Annual Report 0005839711 2024-08-05
Annual Report 0005360669 2023-08-11
Annual Report 0004862692 2022-08-16
Registered Agent Name/Address Change (mass change) 0004643576 2022-03-08
Registered Agent Name/Address Change (mass change) 0004468990 2021-10-29

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
24200.00
Total Face Value Of Loan:
24200.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$24,200
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$24,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$24,463.22
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $24,200

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State