Collinsville Physical Therapy Clinic, LLC is a Mississippi LLC, registered on April 23, 2007. It is based at 4655 Trick Talbert Rd, Bailey, MS, 39320, USA. The company is currently listed as active on the Mississippi register and is registered under company number 910982. Its officers and directors on record include Brendon Law, Jackie Jackson, Robert N Anderson, among 4 on file. It operates in offices of physical, occupational and speech therapists, and audiologists (NAICS 621340). Public records for the company include 1 SoS registration and 1 Medicare provider record. Every fact here is republished from an official public register and traces back to a primary source document.
| Legal entity name | Collinsville Physical Therapy Clinic, LLC |
|---|---|
| Principal address | 4655 Trick Talbert RdBailey39320MSUnited States |
| Registration state | Mississippi |
| Status | Active |
| Registered | 23 April 2007 (over 19 years ago) |
| Officers & directors | Brendon Law, officerJackie Jackson, officerRobert N Anderson, memberLisa Anderson, memberDan Fritts, member (former) |
| Entity type | LLC |
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| Standing | compliant |
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| Company number | 910982 |
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| Industry | Offices of Physical, Occupational and Speech Therapists, and Audiologists · NAICS 621340 |
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| Registered agent | Lisa Anderson |
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| Source registry | Mississippi Secretary of State · updated 6 July 2026 |
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| Public records | 1 SoS registration |
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| State | Business name | Filed | Registered agent | Officers | Status | |
|---|---|---|---|---|---|---|
| MississippiTHIS | Collinsville Physical Therapy Clinic, LLC | 2007-04-23 | Lisa Anderson | Brendon LawOfficerJackie JacksonOfficer3 more | Active | |
Filing ID 910982 Jurisdiction Domestic · LLC Principal address 4655 Trick Talbert Rd, Bailey, MS, 39320, USA Registered agent Lisa Anderson4655 Trick Talbert Rd, Bailey, MS, 39320 Officers Brendon LawOfficer Jackie JacksonOfficer Robert N AndersonMember Lisa AndersonMember Dan FrittsMember | ||||||
Companies and people linked to Collinsville Physical Therapy Clinic, LLC in the state registers through shared officers, a shared registered agent, shared filing contacts or a shared address. Service companies file for many unrelated businesses — a shared agent, address or contact alone does not prove affiliation.
company person group former role
Browse the indexed registries by state, or look up any debtor name free, at UCC lien search.
| State | License / ID | Type | Issued | Status | |
|---|---|---|---|---|---|
| — | 1831394196 | Medicare / NPI provider | 06/18/2007 | Unknown | |
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Companies adjacent to Collinsville Physical Therapy Clinic, LLC in the Mississippi Secretary of State register, in alphabetical order.
Netstate aggregates public records from federal, state and municipal sources; records are matched to this company by its registered legal names. Latest source snapshot 2026-07-07. Document getpalm-companies/0248-1200-2019.