| Name: | Nova Physical Therapy and Wellness, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 07 Jun 2021 (3 years ago) (Companies founded in June 2021) |
| Entity Number: | 000-866-007 |
| Register Number: | 000866007 |
| ZIP code: | 35222 (Companies in Jefferson, 35222) |
| County: | Jefferson |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 4312 5th Avenue SouthBirmingham, AL 35222 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073285342 | 2021-10-04 | 2021-10-04 | 4312 5TH AVE S, BIRMINGHAM, AL, 352222807, US | 2821 2ND AVE S STE E, BIRMINGHAM, AL, 352332840, US | |||||||||||||
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| Phone | +1 205-228-9575 |
Authorized person
| Name | LAURA ELIZABETH RICHARDSON |
| Role | OWNER |
| Phone | 2052289575 |
Taxonomy
| Taxonomy Code | 2251X0800X - Orthopedic Physical Therapist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NOVA PHYSICAL THERAPY AND WELLNESS, LLC 401(K) PLAN | 2023 | 871164024 | 2024-05-10 | NOVA PHYSICAL THERAPY AND WELLNESS, LLC | 4 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-10 |
| Name of individual signing | QIAN LIU |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 2052026078 |
| Plan sponsor’s address | 2821 2ND AVENUE SOUTH, SUITE E, BIRMINGHAM, AL, 35233 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-28 |
| Name of individual signing | CHRISTINE RIMER |
| Name | Role |
|---|---|
| Richardson, Laura | Agent |
| Name | Role | Address |
|---|---|---|
| Pickering, John D | Organizer | 1901 6th Avenue N, Suite 1500Birmingham, AL 35203 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
