REHABILITATION INSTITUTE OF WASHINGTON, PLLC

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Company Details

Legal Name:	REHABILITATION INSTITUTE OF WASHINGTON, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	June 24th 2005
Expiration date:	30 Jun 2026
UBI Number:	602 517 276
ZIP code:	98109
City:	Seattle
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	415 1ST AVE N STE 200, SEATTLE, WA, 98109-4765, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$590

Contact Details

E-Mail:	JMOORE@REHABWASHINGTON.COM
Phone Number:	+1 206-245-1614

Nature of Business

Other Services, Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
JAMES MOORE	Registered Agent	415 1ST AVE N, SEATTLE, WA, 98109-4744, UNITED STATES

Key Officers & Management

Name	Role	Address
JAMES MOORE	Governing Person	1518 MAGNOLIA WAY W, SEATTLE, WA, 98199, UNITED STATES
HEATHER KROLL	Governing Person	5743 61ST AVE NE, SEATTLE, WA, 98105, UNITED STATES

National Provider Identifier

NPI Number:

1457433104

Link:

View on NPI website

Authorized Person:

Name:

DR. HEATHER ROMA KROLL

Role:

MEDICAL DIRECTOR

Phone:

2068595030

Taxonomy:

Selected Taxonomy:

225100000X - Physical Therapist

Is Primary:

Yes

Contacts:

Phone:

+1 206-859-5030

Fax:

2068595031

Form 5500 Series

Employer Identification Number (EIN):

203103991

Plan Year:

2012

Number Of Participants:

25

File:

Plan Administrator / Signatory:

JAMES MOORE(Plan administrator) JAMES MOORE(Employer/plan sponsor)

Plan Year:

2011

Number Of Participants:

22

Plan Name:

401(K)

Sponsor's telephone number:

2068595030

Plan Administrator / Signatory:

JAMES MOORE(Plan administrator)

Plan Year:

2010

Number Of Participants:

22

Plan Name:

401(K)

Sponsor's telephone number:

2068595030

File:

Plan Administrator / Signatory:

JAMES MOORE(Plan administrator)

Plan Year:

2010

Number Of Participants:

14

Sponsor's telephone number:

2068595030

File:

Plan Administrator / Signatory:

JAMES MOORE(Plan administrator)

Plan Year:

2009

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

2068595030

File:

Plan Administrator / Signatory:

JAMES MOORE(Plan administrator)

Paycheck Protection Program

Jobs Reported:

24

Initial Approval Amount:

$445,950

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$445,950

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$448,798.78

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $445,950

Jobs Reported:

22

Initial Approval Amount:

$441,748

Date Approved:

2021-03-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$441,748

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Male Owned

Veteran:

Veteran

Forgiveness Amount:

$444,991.52

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $441,746
Utilities: $1

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