PHYSICAL THERAPY ASSOCIATES, P.S.

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Company Details

Legal Name:	PHYSICAL THERAPY ASSOCIATES, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	November 18th 1977
Expiration date:	30 Nov 2025
UBI Number:	600 255 921
ZIP code:	99223
City:	Spokane
County:	SPOKANE
Home State:	WASHINGTON
Principal Office Street Address:	2507 E 27TH AVE, SPOKANE, WA, 99223-4908, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$95,595

Contact Details

E-Mail:	PTASSOC2@MSN.COM
Phone Number:	+1 509-456-6917

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
RYAN YAHNE	Registered Agent	612 W MAIN AVE STE 700, SPOKANE, WA, 99201-0645, UNITED STATES

Key Officers & Management

Name	Role
CRAIG HENNEBERRY	Governing Person
JONATHAN HOOK	Governing Person
STEPHANIE OTA	Governing Person
JEFFREY FENTON	Governing Person
KELLY RISSE	Governing Person
MEG ESTES	Governing Person

National Provider Identifier

NPI Number:

1306985700

Link:

View on NPI website

Authorized Person:

Name:

MRS. DAWN R ERICKSEN

Role:

OFFICE MANAGER

Phone:

5094566917

Taxonomy:

Selected Taxonomy:

208100000X - Physical Medicine & Rehabilitation Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-456-6917

Fax:

5094565902

Form 5500 Series

Employer Identification Number (EIN):

911009729

Plan Year:

2024

Number Of Participants:

32

Sponsor's telephone number:

5094566917

File:

Plan Administrator / Signatory:

KELLY RISSE(Plan administrator)

Plan Year:

2023

Number Of Participants:

33

Sponsor's telephone number:

5094566917

File:

Plan Administrator / Signatory:

KELLY RISSE(Plan administrator)

Plan Year:

2022

Number Of Participants:

32

Sponsor's telephone number:

5094566917

File:

Plan Administrator / Signatory:

KELLY RISSE(Plan administrator)

Plan Year:

2021

Number Of Participants:

38

Sponsor's telephone number:

5094566917

File:

Plan Administrator / Signatory:

KELLY RISSE(Plan administrator)

Plan Year:

2020

Number Of Participants:

35

Sponsor's telephone number:

5094566917

File:

Plan Administrator / Signatory:

KELLY RISSE(Plan administrator)

Paycheck Protection Program

Jobs Reported:

28

Initial Approval Amount:

$395,000

Date Approved:

2020-04-08

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$395,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Male Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$399,696.71

Servicing Lender:

Washington Trust Bank

Use of Proceeds:

Payroll: $395,000

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