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Shappley Pediatric Therapy LLC

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Company Details

Name: Shappley Pediatric Therapy LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 04 Jun 2020 (5 years ago)
Business ID: 1215043
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 5 Bocage RoadHattiesburg, MS 39402

Agent

Name Role Address
TJ Shappley Agent 5 Bocage Rd, Hattiesburg, MS 39402

Manager

Name Role Address
TJ Shappley Manager 5 Bocage Road, Hattiesburg, MS 39402

President

Name Role Address
TJ Shappley President 5 Bocage Road, Hattiesburg, MS 39402

Treasurer

Name Role Address
John Shappley Treasurer 5 Bocage Road, Hattiesburg, MS 39402

National Provider Identifier

NPI Number:
1629746995
Certification Date:
2021-09-01

Authorized Person:

Name:
TOMMIE JANE SHAPPLEY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
6014765289

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-18 Annual Report For Shappley Pediatric Therapy LLC
Annual Report LLC Filed 2024-05-25 Annual Report For Shappley Pediatric Therapy LLC
Annual Report LLC Filed 2023-04-13 Annual Report For Shappley Pediatric Therapy LLC
Annual Report LLC Filed 2022-06-13 Annual Report For Shappley Pediatric Therapy LLC
Amendment Form Filed 2022-03-18 Amendment For Shappley Pediatric Therapy LLC
Annual Report LLC Filed 2021-01-18 Annual Report For Shappley Pediatric Therapy LLC
Formation Form Filed 2020-06-04 Formation For Shappley Pediatric Therapy LLC

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Date of last update: 23 May 2025

Sources: Company Profile on Mississippi Secretary of State Website