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ROCKY MOUNTAIN PHYSICAL THERAPY, PLLC

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Company Details

Name: ROCKY MOUNTAIN PHYSICAL THERAPY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Aug 2000 (25 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 52635
Place of Formation: IDAHO
File Number: 52635
ZIP code: 83221
County: Bingham County
Principal Address: 1441 PARKWAY DRIVE BLACKFOOT, ID 83221
Mailing Address: 1441 PARKWAY DR BLACKFOOT, ID 83221-1667

Agent

Name Role Address
BRANDON HAWKER Agent 87 N 825 W, BLACKFOOT, ID 83221

Member

Name Role Address Appointed On
Brandon S Hawker Member 1441 PARKWAY DR, BLACKFOOT, ID 83221 2020-07-03

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
FSHQYXMFB6W5
CAGE Code:
6WQJ3
UEI Expiration Date:
2022-10-08

Business Information

Division Name:
ROCKY MOUNTAIN PHYSICAL THERAPY
Activation Date:
2021-09-14
Initial Registration Date:
2013-05-31

National Provider Identifier

NPI Number:
1538172648
Certification Date:
2022-12-28

Authorized Person:

Name:
BRANDON SCOTT HAWKER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005825182 2024-07-20
Annual Report 0005392065 2023-09-08
Annual Report 0004918401 2022-09-17
Annual Report 0004373013 2021-08-07
Annual Report 0003928732 2020-07-03

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:
43600.00
Total Face Value Of Loan:
43600.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
43600
Current Approval Amount:
43600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
44015.69

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Date of last update: 25 May 2025

Sources: Idaho Secretary of State