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BAINBRIDGE ISLAND PHYSICAL THERAPY, LLC

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Company Details

Legal Name: BAINBRIDGE ISLAND PHYSICAL THERAPY, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 25th 2002
Expiration date: 31 Jul 2026
UBI Number: 602 221 981
ZIP code: 98110
City: Bainbridge Island
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo BAINBRIDGE ISLAND PHYSICAL THERAPY, 563 MADISON AVE N, BAINBRIDGE ISLAND, WA, 98110-1768, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 563 MADISON AVE N, 563 MADISON AVE N, BAINBRIDGE IS, WA, 98110-1768, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $34,083

Contact Details

E-Mail: JENBIPT@GMAIL.COM
Phone Number: +1 206-855-8455

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KEITH R HEINZELMAN Registered Agent 563 MADISON AVE N, BAINBRIDGE ISLAND, WA, 98110-1768, UNITED STATES

Key Officers & Management

Name Role Address
KEITH HEINZELMAN Governing Person 10916 NE BILL POINT COURT, BAINBRIDGE ISLAND, WA, 98110, UNITED STATES

Unique Entity ID

Unique Entity ID:
MF33R22F5AD1
UEI Expiration Date:
2025-11-23

Business Information

Doing Business As:
BAINBRIDGE ISLAND PHYSICAL THERAPY LLC
Activation Date:
2024-11-26
Initial Registration Date:
2024-01-18

National Provider Identifier

NPI Number:
1639219868
Certification Date:
2020-12-28
Link:
View on NPI website

Authorized Person:

Name:
JENNIFER HEINZELMAN
Role:
OWNER/ MANAGER
Phone:
2068558880

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251C2600X - Cardiopulmonary Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251E1200X - Ergonomics Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251G0304X - Geriatric Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251H1200X - Hand Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251S0007X - Sports Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251S0007X - Sports Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
No
Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Phone:
+1 206-855-8455
Fax:
2068558465

Paycheck Protection Program

Jobs Reported:
10
Initial Approval Amount:
$124,150
Date Approved:
2021-01-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$124,150
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$124,871.09
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $124,144
Utilities: $1
Jobs Reported:
12
Initial Approval Amount:
$124,150
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$124,150
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$125,204.42
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $124,150

Related by address

563 MADISON AVE N, 563 MADISON AVE N, BAINBRIDGE IS, WA, 98110-1768, UNITED STATES

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