Search icon

Carolyn Block Physical Therapy, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: Carolyn Block Physical Therapy, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Feb 2023 (2 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 5128478
Place of Formation: IDAHO
File Number: 866382
ZIP code: 83702
County: Ada County
Principal Address: STE 210 1015 W HAYS BOISE, ID 83702-5412

Agent

Name Role Address
CAROLYN W BLOCK Agent 1700 E HIGHGATE CT, EAGLE, ID 83616

Member

Name Role Address Appointed On
Carolyn W Block Member 1015 W HAYS, BOISE, ID 83702-5412 2024-01-30

National Provider Identifier

NPI Number:
1477336105
Certification Date:
2023-08-16

Authorized Person:

Name:
CAROLYN BLOCK
Role:
OWNER/THERAPIST
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006065695 2025-01-11
Annual Report 0005575648 2024-01-30
Amendment to Certificate 0005400070 2023-09-12
Statement of Change of Business Mailing Address 0005400066 2023-09-12
Initial Filing 0005128478 2023-02-21

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 10 Jul 2025

Sources: Idaho Secretary of State