Name: | Achievement Pediatric Therapies, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 19 Feb 2019 (6 years ago) |
Entity Number: | 000-544-468 |
Register Number: | 000544468 |
County: | Blount |
Place of Formation: | Blount County |
Registered Office Street Address: | 205 NESMITH ROADBLOUNTSVILLE, AL 35031 |
Registered Office Street Address ZIP Code: | 35031 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1174088959 | 2019-02-05 | 2019-02-05 | 205 NESMITH RD, BLOUNTSVILLE, AL, 350316717, US | 530 SPARKMAN ST SW, HARTSELLE, AL, 356403120, US | |||||||||||||||||||||||||||||||||||||||
|
Phone | +1 256-585-5925 |
Authorized person
Name | MRS. LAUREN MICHELLE LONG |
Role | OWNER/COTA |
Phone | 2565855925 |
Taxonomy
Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
Is Primary | Yes |
Taxonomy Code | 2251P0200X - Pediatric Physical Therapist |
Is Primary | No |
Taxonomy Code | 225200000X - Physical Therapy Assistant |
Is Primary | No |
Taxonomy Code | 225XP0200X - Pediatric Occupational Therapist |
Is Primary | No |
Taxonomy Code | 2355S0801X - Speech-Language Assistant |
Is Primary | No |
Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 3873 |
State | AL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ACHIEVEMENT PEDIATRIC THERAPIES 401(K) PLAN | 2023 | 833446723 | 2024-07-22 | ACHIEVEMENT PEDIATRIC THERAPIES, LLC | 12 | |||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-07-22 |
Name of individual signing | CHRIS HORNE |
Name | Role | Address |
---|---|---|
LONG, LAUREN | Agent | 205 KNOLLRIDGE CIRCLEHUNTSVILLE, AL 35801 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State