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Summit Physical Therapy LLC

Details

Name: Summit Physical Therapy LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 14 Jun 2021 (3 years ago) (Companies founded in June 2021)
Date of dissolution: 21 Nov 2023
Entity Number: 000-867-572
Register Number: 000867572
ZIP code: 35216 (Companies in Jefferson, 35216)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 8059 Mitchell LaneBirmingham, AL 35216

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447821194 2021-07-05 2021-07-06 8059 MITCHELL LN, VESTAVIA HILLS, AL, 352166821, US 385 BRYAN RD STE 360, SUMITON, AL, 351483436, US

Contacts

Phone +1 205-531-4200
Phone +1 205-607-0632

Authorized person

Name MICHELLE E SMITH
Role REVENUE CYCLE MANAGER
Phone 2055314200

Taxonomy

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

Agent

Name Role
Hummel, Chris Agent

Organizer

Name Role Address
Jackman, Laura M Organizer 800 Shades Creek Parkway, Suite 400Birmingham, AL 35209

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State