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ELIZABETHTOWN PHYSICAL THERAPY, LLC

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Company Details

Name: ELIZABETHTOWN PHYSICAL THERAPY, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 Jul 1992 (33 years ago)
Organization Date: 31 Jul 1992 (33 years ago)
Last Annual Report: 11 Mar 2020 (5 years ago)
Managed By: Members
Organization Number: 0303578
Principal Office: 4714 GETTYSBURG ROAD, ATTN: LEGAL - ENTITY COORDINATOR, MECHANICSBURG, PA 17055-4325
Place of Formation: KENTUCKY

Registered Agent

Name Role
KENTUCKY ORTHOPEDIC REHABILIATION, LLC Registered Agent

Member

Name Role
Kentucky Orthopedic Rehabilitation, LLC Member

Incorporator

Name Role
LAURENCE N. BENZ Incorporator

Director

Name Role
LAURENCE N. BENZ Director
PATRICIA G. BENZ Director

Organizer

Name Role
JASON S CHUMBERS Organizer

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
ZCZZUK76PCL6
UEI Expiration Date:
2026-04-07

Business Information

Activation Date:
2025-04-09
Initial Registration Date:
2023-06-19

National Provider Identifier

NPI Number:
1790039667
Certification Date:
2020-03-12

Authorized Person:

Name:
MICHAEL E. TARVIN
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251H1200X - Hand Physical Therapist
Is Primary:
No
Selected Taxonomy:
2251X0800X - Orthopedic Physical Therapist
Is Primary:
No
Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8592993508

Filings

Name File Date
Dissolution 2020-07-30
Annual Report 2020-03-11
Articles of Organization (LLC) 2020-03-04
Amendment 2020-02-26
Withdrawal before effective date 2019-06-20

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Sources: Kentucky Secretary of State