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SPECIALIZED PHYSICAL THERAPY, PLLC

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Company Details

Name: SPECIALIZED PHYSICAL THERAPY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Sep 2015 (10 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 476178
Place of Formation: IDAHO
File Number: 476178
ZIP code: 83202
County: Bannock County
Principal Address: 5047 INDEPENDENCE AVE CHUBBUCK, ID 83202
Mailing Address: SHAWN HIGBEE STE A 4141 POLELINE RD POCATELLO, ID 83202-4904

Agent

Name Role Address
SHAWN ROBERT HIGBEE Agent 5047 INDEPENDENCE AVE, CHUBBUCK, ID 83202

Member

Name Role Address Appointed On
Shawn Higbee Member 4141 POLELINE RD, POCATELLO, ID 83202-4904 2020-10-07

National Provider Identifier

NPI Number:
1215381181

Authorized Person:

Name:
DR. SHAWN ROBERT HIGBEE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8336982470

Filing

Filing Name Filing Number Filing date
Annual Report 0005878480 2024-09-03
Annual Report 0005384108 2023-09-05
Annual Report 0004845705 2022-08-04
Annual Report 0004399310 2021-09-03
Annual Report 0004026980 2020-10-07

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$12,304
Date Approved:
2020-05-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,304
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$12,476.93
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $12,304

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State