P Praxis·MD
● Active Type 1 · Individual

Jeannie Marie Mattox, PTA

Physical Therapy Assistant·Plummer, ID· NPI 1205503539 · Enumerated 2021 · 4 years on NPI
Mattox is 1 of 4 physical therapy assistant providers in Plummer and 1 of 272 in Idaho.
NPI age
4 years
Enumerated 2021-08-25
Primary specialty
Physical Therapy Assistant
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-08-25
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
4 years
↓ 5 yr below median (9 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
7% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-08Enumerated in NPPES
2021 2026

Where they practice

Practice location
1100 A Street
Plummer, ID 83851
📞 2086867041
Mailing address
Po Box 516
Plummer, ID 838510516
📞 2086867041

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-6401 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 2 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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