Is PhysioLife 605 PLLC active?

Yes — the South Dakota registry lists PhysioLife 605 PLLC as active, as of the 2026-06-17 source snapshot. The status is republished verbatim from the Secretary of State record.

Where is PhysioLife 605 PLLC registered?

PhysioLife 605 PLLC is registered in South Dakota under company number DL248607, first registered on April 13, 2023.

What type of company is PhysioLife 605 PLLC?

PhysioLife 605 PLLC is registered as an LLC with the South Dakota Secretary of State.

Does PhysioLife 605 PLLC have UCC liens?

No UCC financing statements name PhysioLife 605 PLLC as debtor in the indexed state registries.

Is PhysioLife 605 PLLC a federal contractor?

No federal contract awards or SAM.gov recipient records are matched to PhysioLife 605 PLLC in the indexed federal datasets.

Does PhysioLife 605 PLLC hold any licenses?

3 license and credential records are matched to PhysioLife 605 PLLC. Each license, its type and issuing authority is listed in the Licenses section above.

What public records are linked to PhysioLife 605 PLLC?

4 public records are linked to PhysioLife 605 PLLC: 1 in Filings, 3 in Licenses & authorities — matched across federal, state and municipal registers by its registered legal names.

Where does this data come from?

Every fact on this profile is republished from official public registers — Secretary of State filings, UCC indexes and federal datasets. Each section names its issuing register and the snapshot Netstate last retrieved (latest: 2026-06-17).

PhysioLife 605 PLLC — South Dakota LLC No. DL248607: Active, 1 filing — Netstate

South Dakota/Harrisburg/PhysioLife 605 PLLC

PhysioLife 605 PLLC

Type LLCRegistered 13 April 2023 (over 3 years ago)Company No. DL248607Updated 2026-06-17

PhysioLife 605 PLLC is a South Dakota LLC, registered on April 13, 2023. It is based at 220 S Cliff Ave, Suite 126, Harrisburg, SD, 57032. The company is currently listed as active on the South Dakota register and is registered under company number DL248607. Public records for the company include 1 SoS registration and 3 Medicare provider records. Every fact here is republished from an official public register and traces back to a primary source document.

Legal entity name	PhysioLife 605 PLLC
Principal address	220 S Cliff Ave, Suite 126Harrisburg57032SDUnited States
Registration state	South Dakota
Status	Active
Registered	13 April 2023 (over 3 years ago)
Entity type	LLC
Standing	compliant
Company number	DL248607
Registered agent	Trever Wagner
Source registry	South Dakota Secretary of State · updated 15 June 2026
Public records	1 SoS registration

Contacts

PRO

Secretary of State Filings

1 registration

1Active

0Inactive

0Unknown

State	Business name	Filed	Registered agent	Officers	Status
South DakotaTHIS	PhysioLife 605 PLLC	2023-04-13	Trever Wagner	—	Active
Filing ID DL248607 Jurisdiction Domestic · LLC Principal address 220 S Cliff Ave, Suite 126, Harrisburg, SD, 57032 Registered agent Trever Wagner220 S CLIFF AVE, STE 126, HARRISBURG, SD, 57032 Officers Not reported

Licenses & authorities

3 records

Source: CMS medicare providers · NPI registry·verified at source

Held in South DakotaPhysical therapist in private practice 2Medicare / NPI provider 1

State	License / ID	Type	Issued	Status
—	1396433629	Medicare / NPI provider	04/25/2023	Unknown
credential — deactivation date — entity type code 2 enumeration date 04/25/2023 first name — last name — last update date 08/22/2023 mailing address 1 220 S CLIFF AVE STE 102 mailing address 2 — mailing city HARRISBURG mailing country US mailing postal code 570322485 mailing state SD middle name — npi 1396433629 organization name PHYSIOLIFE 605 PLLC practice address 1 220 S CLIFF AVE STE 102 practice city HARRISBURG practice postal code 570322485 practice state SD reactivation date — taxonomy code 1 261QP2000X Source: NPI registry · document npi/
South Dakota	1164399358	PHYSICAL THERAPIST IN PRIVATE PRACTICE	—	Unknown
address id SD570322485HA220XXAVEX402 address line 1 220 S CLIFF AVE address line 2 SUITE 126 address line 2 suppressed — city HARRISBURG credential PT facility name PHYSIOLIFE 605 PLLC first name AUSTIN gender M graduation year 2025 group accepts assignment Y individual accepts assignment Y individual enrollment id I20251121003505 individual pac id 3274025762 last name RYAN medical school OTHER middle name JAMES npi 1164399358 num organization members 2 organization pac id 3476907577 primary specialty PHYSICAL THERAPIST IN PRIVATE PRACTICE secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state SD suffix — telehealth — telephone number 6057671601 zip code 570322485 Source: CMS medicare providers · document cms-medicare/
South Dakota	1649629080	PHYSICAL THERAPIST IN PRIVATE PRACTICE	—	Unknown
address id SD570322485HA220XXAVEX402 address line 1 220 S CLIFF AVE address line 2 SUITE 126 address line 2 suppressed — city HARRISBURG credential PT facility name PHYSIOLIFE 605 PLLC first name TREVER gender M graduation year 2016 group accepts assignment Y individual accepts assignment Y individual enrollment id I20160726000167 individual pac id 0345533592 last name WAGNER medical school OTHER middle name L npi 1649629080 num organization members 2 organization pac id 3476907577 primary specialty PHYSICAL THERAPIST IN PRIVATE PRACTICE secondary specialty 1 — secondary specialty 2 — secondary specialty 3 — secondary specialty 4 — secondary specialty all — state SD suffix — telehealth — telephone number 6057671601 zip code 570322485 Source: CMS medicare providers · document cms-medicare/

PhysioLife 605 PLLC

Contacts

Financials

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Secretary of State Filings

Liens

Permits

Licenses & authorities

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Copyrights

FEC

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401(k)

SEC

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Frequently asked questions

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