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CREEKSIDE PHYSICAL THERAPY P.L.L.C.

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Company Details

Legal Name: CREEKSIDE PHYSICAL THERAPY P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 18th 1998
Expiration date: 30 Jun 2026
UBI Number: 601 883 583
ZIP code: 98908
City: Yakima
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4205 CASTLEVALE RD, YAKIMA, WA, 98908, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $239,786

Contact Details

E-Mail: KYLEP140@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization, Professional, Scientific & Technical Services, Any Lawful Purpose

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Registered Agent Information

Name Role Address
KYLE PRESCOTT Registered Agent 4205 CASTLEVALE RD, YAKIMA, WA, 98908-5603, UNITED STATES

Key Officers & Management

Name Role
KYLE PRESCOTT, DPT Governing Person
ROGER RIDD, PT Governing Person
KENNETH DITTO, PT Governing Person
ALEX MOON, DPT Governing Person

National Provider Identifier

NPI Number:
1922071455
Certification Date:
2023-07-06

Authorized Person:

Name:
JASON RICE
Role:
BILLING AGENT
Phone:

Taxonomy:

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

Contacts:

Fax:
5095760101

Form 5500 Series

Employer Identification Number (EIN):
911905105
Plan Year:
2024
Number Of Participants:
45
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ROBERT FINCH(Plan administrator)
Plan Year:
2023
Number Of Participants:
40
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ROBERT FINCH(Plan administrator)
Plan Year:
2023
Number Of Participants:
30
Plan Name:
CASH BALANCE
Sponsor's telephone number:
Plan Administrator / Signatory:
ROBERT FINCH(Plan administrator)
Plan Year:
2022
Number Of Participants:
36
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ROBERT FINCH(Plan administrator)
Plan Year:
2022
Number Of Participants:
36
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
ROBERT FINCH(Plan administrator)

Paycheck Protection Program

Jobs Reported:
22
Initial Approval Amount:
$297,437
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$331,911
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$335,984.87
Servicing Lender:
KeyBank National Association
Use of Proceeds:
Payroll: $331,911
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