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Bayside Physical Therapy, LLC

Details

Name: Bayside Physical Therapy, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Apr 2019 (6 years ago) (Companies founded in April 2019)
Entity Number: 000-574-237
Register Number: 000574237
ZIP code: 36532 (Companies in Baldwin, 36532)
County: Baldwin
Place of Formation: Baldwin County
Registered Office Mailing Address: POB 1186FAIRHOPE, AL 36533
Registered Office Street Address: 341 N GREENO ROADFAIRHOPE, AL 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861033466 2019-10-04 2020-01-07 PO BOX 927, FAIRHOPE, AL, 365330927, US 341 GREENO RD N STE 102, FAIRHOPE, AL, 365322979, US

Contacts

Phone +1 251-928-9954
Fax 2512103216

Authorized person

Name ROBERT STANLEY
Role CEO
Phone 2512103210

Taxonomy

Taxonomy Code 225100000X - Physical Therapist
Is Primary Yes
Taxonomy Code 261QP2000X - Physical Therapy Clinic/Center
Is Primary No

Agent

Name Role
SAVAGE, ALBERT J IV Agent

Organizer

Name Role Address
LEWIS, R SCOTT Organizer 126 COURTHOUSE SQUAREBAY MINETTE, AL 36507

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State