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Mississippi Spine and Pelvic Health Physical Therapy, LLC

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Company Details

Name: Mississippi Spine and Pelvic Health Physical Therapy, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 19 May 2021 (4 years ago)
Business ID: 1283434
ZIP code: 39157
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1107 Highland Colony Pkwy, Suite 109Ridgeland, MS 39157

Agent

Name Role Address
Capitol Corporate Services, Inc. Agent 248 E Capitol St., Ste 840, Jackson, MS 39201

Organizer

Name Role Address
Chad A. Davidson Organizer 4270 I-55 North, Jackson, MS 39211

Manager

Name Role Address
Samuel Brooks Lewis Manager 188 Saddlebrook Cove, Madison, MS 39110
John Michael Horlock Manager 724 Orleans Circle, Ridgeland, MS 39157

President

Name Role Address
Samuel Brooks Lewis President 188 Saddlebrook Cove, Madison, MS 39110
John Michael Horlock President 724 Orleans Circle, Ridgeland, MS 39157

National Provider Identifier

NPI Number:
1710654686
Certification Date:
2023-03-24

Authorized Person:

Name:
MR. SAMUEL BROOKS LEWIS
Role:
CO-OWNER/COO
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-10 Annual Report For Mississippi Spine and Pelvic Health Physical Therapy, LLC
Annual Report LLC Filed 2024-01-08 Annual Report For Mississippi Spine and Pelvic Health Physical Therapy, LLC
Annual Report LLC Filed 2023-02-09 Annual Report For Mississippi Spine and Pelvic Health Physical Therapy, LLC
Annual Report LLC Filed 2022-04-07 Annual Report For Mississippi Spine and Pelvic Health Physical Therapy, LLC
Formation Form Filed 2021-05-19 Formation For Mississippi Spine and Pelvic Health Physical Therapy, LLC

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Date of last update: 26 May 2025

Sources: Company Profile on Mississippi Secretary of State Website