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FOUNDATIONS PEDIATRIC THERAPY, PLLC

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Company Details

Name: FOUNDATIONS PEDIATRIC THERAPY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 May 2001 (24 years ago)
Financial Date End: 31 May 2026
Entity Number: 60233
Place of Formation: IDAHO
File Number: 60233
ZIP code: 83644
County: Canyon County
Principal Address: TIFFANY POLLOCK 11536 W PRISTINEBROOK DR STAR, ID 83669
Mailing Address: TIFFANY POLLOCK PO BOX 576 MIDDLETON, ID 83644-0576

Manager

Name Role Address Appointed On
Foundations Pediatric Therapy, PLLC Manager 412 S KING AVE, MIDDLETON, ID 83644 2020-07-29
Foundations Pediatric Therapy Manager 412 S KING AVE, MIDDLETON, ID 83644 2024-08-02

Agent

Name Role Address
Tiffany Pollock Agent 412 S KING AVE, SUITE 103, TIFFANY POLLOCK, MIDDLETON, ID 83644

National Provider Identifier

NPI Number:
1295339620
Certification Date:
2021-03-10

Authorized Person:

Name:
TIFFANY POLLOCK
Role:
OWNER / THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225XF0002X - Feeding, Eating & Swallowing Occupational Therapist
Is Primary:
No
Selected Taxonomy:
225XP0200X - Pediatric Occupational Therapist
Is Primary:
Yes

Contacts:

Fax:
2084737320

Filing

Filing Name Filing Number Filing date
Annual Report 0006185828 2025-04-03
Annual Report 0005836735 2024-08-02
Annual Report 0005205321 2023-04-18
Annual Report 0004693689 2022-04-10
Annual Report 0004250316 2021-04-17

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Date of last update: 25 May 2025

Sources: Idaho Secretary of State