P Praxis·MD
● Active Type 1 · Individual

Nohe Mata, PTA

Physical Therapy Assistant·Nampa, ID· NPI 1083141394 · Enumerated 2017 · 9 years on NPI
Mata is 1 of 12 physical therapy assistant providers in Nampa and 1 of 272 in Idaho.
NPI age
9 years
Enumerated 2017-05-17
Primary specialty
Physical Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-05-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 272 active physical therapy assistant providers in Idaho.

NPI age
9 years
≈ at median (9 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-05Enumerated in NPPES
2017 2026

Where they practice

Practice location
4301 Garrity Blvd Ste 103
Nampa, ID 836879222
📞 2084630700fax 2084630700
Mailing address
1010 Holly St
Nampa, ID 836865825
📞 2085700455

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    ID license #PTA-5158 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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