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SCOTT RANDKLEV PHYSICAL THERAPY PA

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Company Details

Name: SCOTT RANDKLEV PHYSICAL THERAPY PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 11 Jan 2016 (10 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 625288
Place of Formation: IDAHO
File Number: 625288
ZIP code: 83814
County: Kootenai County
Mailing Address: 1296 S FAIRMONT LOOP COEUR D ALENE, ID 83814-8932

Agent

Name Role Address
SCOTT RANDKLEV Agent 1296 S FAIRMONT LP, COEUR D ALENE, ID 83814

Secretary

Name Role Address Appointed On
Shelby S Randklev Secretary 1296 S FAIRMONT LOOP, COEUR D ALENE, ID 83814 2020-12-08

President

Name Role Address Appointed On Resigned On
Scott R Randklev President 1296 S FAIRMONT LOOP, COEUR D ALENE, ID 83814 2023-12-04 2023-12-04

National Provider Identifier

NPI Number:
1437744752
Certification Date:
2021-03-08

Authorized Person:

Name:
DR. SCOTT RANDKLEV
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2082921374

Filing

Filing Name Filing Number Filing date
Annual Report 0006003248 2024-12-03
Annual Report 0005496191 2023-12-04
Annual Report 0005013654 2022-12-05
Annual Report 0004560693 2022-01-10
Annual Report 0004095140 2020-12-08

USAspending Awards / Financial Assistance

Date:
2021-03-03
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:
20800.00
Total Face Value Of Loan:
20800.00
Date:
2020-04-07
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:
20800.00
Total Face Value Of Loan:
20800.00

Trademarks Section

Serial Number:
87645358
Mark:
MIRROR BOX
Status:
Abandoned because the applicant failed to respond or filed a late response to an Office action. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Trademark
Application Filing Date:
2017-10-13
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
MIRROR BOX

Goods And Services

For:
Downloadable mobile applications for use in physical therapy and injury rehabilitation
First Use:
2016-08-17
International Classes:
009 - Primary Class
Class Status:
ACTIVE

Paycheck Protection Program

Date Approved:
2021-03-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
20800
Current Approval Amount:
20800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
20903.15
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
20800
Current Approval Amount:
20800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
20933.02

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State