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FITNESS FORWARD PHYSICAL THERAPY PLLC

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Company Details

Name: FITNESS FORWARD PHYSICAL THERAPY PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 17 Oct 2017 (8 years ago)
Financial Date End: 31 Oct 2024
Date dissolved: 11 Jan 2025
Entity Number: 574115
Place of Formation: IDAHO
File Number: 574115
ZIP code: 83404
County: Bonneville County
Principal Address: 1775 E. 17TH STREET SUITE D IDAHO FALLS, ID 83404
Mailing Address: STE D 1775 E 17TH ST IDAHO FALLS, ID 83404-4902

Agent

Name Role Address
JON CHRISTOPHER MALLAMS Agent 1775 E 17TH ST SUITE D, IDAHO FALLS, ID 83404

Manager

Name Role Address Appointed On
Jon C Mallams Manager 1775 E. 17TH STREET, IDAHO FALLS, ID 83404 2020-09-04

National Provider Identifier

NPI Number:
1881100261

Authorized Person:

Name:
JON CHRISTOPHER MALLAMS
Role:
PTA/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225200000X - Physical Therapy Assistant
Is Primary:
Yes

Contacts:

Fax:
2082439999

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006063073 2025-01-11
Annual Report 0005418224 2023-10-03
Annual Report 0004964743 2022-10-30
Annual Report 0004399836 2021-09-03
Annual Report 0003996358 2020-09-04

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
12500.00
Total Face Value Of Loan:
12500.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$12,500
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$12,500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$12,593.84
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $12,500

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State