NPI age
20 years
Enumerated 2005-12-02
● Active
Type 1 · Individual
Matthew Ryan Booth, PT
Booth is 1 of 459 physical therapist providers in Boise and 1 of 2006 in Idaho.
Primary specialty
Physical Therapist
Plus 1 subspecialty
Licensed in
ID, OR
2 states
Status
Active
No deactivations on record
Last NPPES update
2014-10-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 2006 active physical therapist providers in Idaho.
NPI age
20 years
↑ 9 yr above median (11 yr)
State licenses
2 states
Top 91% — 9% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Practice location
415 E Parkcenter Blvd, Suite 114
Boise, ID 837066504
Mailing address
16083 Sw Upper Boones Ferry Rd, Suite 300
Tigard, OR 972247736
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 805292000 | |
| 05 (ID) | 805292002 | |
| 05 (ID) | 1265416291-000 | |
| 01 (ID) | P00802453 | RR MEDICARE |
| 01 (ID) | 0330326 | WA L&I |
| 05 (ID) | 126546291-002 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
Recently enumerated nearby: 5 new physical therapist providers have been added in Boise in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.