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Rehab and Sports Medicine of the Shoals, Inc.

Details

Name: Rehab and Sports Medicine of the Shoals, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 24 May 2005 (19 years ago)
Entity Number: 000-241-574
Register Number: 000241574
County: Lauderdale
Place of Formation: Lauderdale County
Principal Address: FLORENCE, AL
Registered Office Street Address: 2129 HELTON DRFLORENCE, AL 35630
Registered Office Street Address ZIP Code: 35630
Authorized Capital: $10

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003809955 2005-08-25 2023-03-31 1751 VETERANS DR STE 300, FLORENCE, AL, 356304930, US 1751 VETERANS DR STE 300, FLORENCE, AL, 356304930, US

Contacts

Phone +1 256-718-3200
Fax 2567649343

Authorized person

Name DR. JOHN A YOUNG
Role PRESIDENT
Phone 2567649304

Taxonomy

Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
REHAB AND SPORTS MEDICINE OF THE SHOALS, INC. 401(K) PLAN 2021 202891413 2023-10-13 REHAB AND SPORTS MEDICINE OF THE SHOALS, INC. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-08-15
Business code 624310
Sponsor’s telephone number 2562463210
Plan sponsor’s address 1751 VETERANS DRIVE, SUITE 300, FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2023-10-13
Name of individual signing JOHN WILLIAMS
REHAB AND SPORTS MEDICINE OF THE SHOALS, INC. 401(K) PLAN 2020 202891413 2021-10-14 REHAB AND SPORTS MEDICINE OF THE SHOALS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-08-15
Business code 624310
Sponsor’s telephone number 2562463210
Plan sponsor’s address 1751 VETERANS DRIVE, SUITE 300, FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2021-10-14
Name of individual signing TAMMY HIGHFIELD
REHAB AND SPORTS MEDICINE OF THE SHOALS, INC. 401(K) PLAN 2019 202891413 2020-10-14 REHAB AND SPORTS MEDICINE OF THE SHOALS, INC. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-08-15
Business code 624310
Sponsor’s telephone number 2562463210
Plan sponsor’s address 1751 VETERANS DRIVE, SUITE 300, FLORENCE, AL, 35630

Signature of

Role Plan administrator
Date 2020-10-14
Name of individual signing A E JOINER

Agent

Name Role Address
HIGHFIELD, TAMMY Agent 2129 HELTON DRIVEFLORENCE, AL 35630

Incorporator

Name Role Address
PITTS, CONRAD C Incorporator 401 EAST TUSCALOOSA STFLORENCE, AL 35630

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State