| Name: | Physical Therapy Specialists, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 07 Oct 2002 (22 years ago) (Companies founded in October 2002) |
| Entity Number: | 000-225-556 |
| Register Number: | 000225556 |
| ZIP code: | 36549 (Companies in Baldwin, 36549) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | LILLIAN, AL |
| Registered Office Street Address: | 34491 US HWY 98 STE ALILLIAN, AL 36549 |
| Authorized Capital: | 1,000 |
Activities
PHYSICAL THERAPY SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861537920 | 2007-02-20 | 2020-08-22 | 25765 U.S. HIGHWAY 98, ELBERTA, AL, 36530, US | 25765 U.S. HIGHWAY 98, ELBERTA, AL, 36530, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 251-986-3155 |
Authorized person
| Name | MICHAEL R LAND |
| Role | OWNER,PRESIDENT |
| Phone | 2519863155 |
Taxonomy
| Taxonomy Code | 225100000X - Physical Therapist |
| License Number | PTH3908 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS AL PROVIDER NUMBER |
| Number | 51531811 |
| State | AL |
| Name | Role |
|---|---|
| LAND, MICHAEL R | Incorporator |
| Name | Role |
|---|---|
| LAND, MICHAEL R | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
