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RESTORE PHYSICAL THERAPY PC

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Company Details

Name: RESTORE PHYSICAL THERAPY PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 12 May 2016 (9 years ago)
Financial Date End: 31 May 2026
Entity Number: 627583
Place of Formation: IDAHO
File Number: 627583
ZIP code: 83713
County: Ada County
Mailing Address: RANDY LANGLEY STE 170 5418 N EAGLE RD BOISE, ID 83713-0999

Agent

Name Role Address
RANDALL LANGLEY Agent 176 W SUTTER DR, RANDY LANGLEY, EAGLE, ID 83616

Secretary

Name Role Address Appointed On
SARAH J GRAHAM Secretary 977 EAGLE HILLS WAY, EAGLE, ID 83616 2021-04-06

President

Name Role Address Appointed On Resigned On
RANDALL LANGLEY President 176 W SUTTER DR, EAGLE, ID 83616 2024-04-04 2024-04-04

National Provider Identifier

NPI Number:
1790236511
Certification Date:
2024-01-10

Authorized Person:

Name:
MRS. SARAH GRAHAM
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2089393338
Fax:
2085141558

Filing

Filing Name Filing Number Filing date
Annual Report 0006187622 2025-04-03
Annual Report 0005673385 2024-04-04
Annual Report 0005179135 2023-04-03
Annual Report 0004737837 2022-05-06
Annual Report 0004236415 2021-04-06

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
65921.00
Total Face Value Of Loan:
65921.00
Date:
2020-05-03
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:
65921.00
Total Face Value Of Loan:
65921.00

Paycheck Protection Program

Date Approved:
2021-01-23
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
65921
Current Approval Amount:
65921
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
66367.8
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
65921
Current Approval Amount:
65921
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
66514.29

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State