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PIERCE PHYSICAL THERAPY AND SPORTS REHAB, LLC

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Company Details

Name: PIERCE PHYSICAL THERAPY AND SPORTS REHAB, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 06 Jan 2017 (9 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 534586
Place of Formation: IDAHO
File Number: 534586
ZIP code: 83646
County: Ada County
Principal Address: 1532 W CAYUSE CREEK DR MERIDIAN, ID 83646-4795
Mailing Address: STE 100 4771 N SUMMIT WAY MERIDIAN, ID 83646-5017

Manager

Name Role Address Appointed On Resigned On
Brett A Pierce Manager 425 W BACALL DR, MERIDIAN, ID 83646-7389 2022-09-30 No data
Brett P Pierce Manager 1532 W CAYUSE CREEK DR, MERIDIAN, ID 83646-4795 2021-02-04 2022-09-30

Agent

Name Role Address
BRETT PIERCE Agent 4771 N SUMMIT WAY, SUITE 100, MERIDIAN, ID 83646

National Provider Identifier

NPI Number:
1578076519
Certification Date:
2025-05-20

Authorized Person:

Name:
DR. BRETT PIERCE
Role:
OWNER, PHYSICAL THERAPIST
Phone:

Taxonomy:

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

Contacts:

Fax:
2086173077

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0006225963 2025-04-30
Dissolution/Revocation - Administrative 0006219088 2025-04-26
Annual Report 0005599539 2024-02-12
Annual Report 0005105599 2023-02-09
Application for Reinstatement 0004929015 2022-09-30

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State