- Practice location
- 415 E Parkcenter Blvd, Suite 114, Boise, ID 83706-6504
- Phone
- 208-433-9211
- Fax
- 208-433-9241
- Last updated
- October 9, 2014
Matthew Ryan Booth is a Physical Therapist based in Boise, ID. Matthew Ryan Booth practices in Boise, ID and has the professional credentials of PT. The NPI Number for Matthew Ryan Booth is 1265416291 and holds a License No. 3968 (OR). The current practice location address for Matthew Ryan Booth is 415 E Parkcenter Blvd, Suite 114, Boise, ID 83706-6504 and can be reached out via phone at 208-433-9211 and via fax at 208-433-9241.
Provider Profile Details
- NPI Number
- 1265416291
- Provider Name
- Matthew Ryan Booth
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 415 E Parkcenter Blvd, Suite 114, Boise, ID 83706-6504
- Phone Number
- 208-433-9211
- Fax Number
- 208-433-9241
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 2, 2005
- Last Update Date
- October 9, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 415 E Parkcenter Blvd
Suite 114
Boise, ID 83706-6504 - City
- Boise
- State
- Idaho
- Zip
- 83706-6504
- Phone Number
- 208-433-9211
- Fax Number
- 208-433-9241
Provider Business Mailing Address Details
- Address
- 16083 SW Upper Boones Ferry RD
Suite 300
Tigard, OR 97224-7736 - City
- Tigard
- State
- OR
- Zip
- 97224-7736
- Phone Number
- 800-219-8835
- Fax Number
- 503-639-9699
License Information
- License Number (1)
- 3968
- License State (1)
- OR
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- RPT1329
- License State (2)
- ID
- Taxonomy (2)
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physical Therapists near Boise, ID
View all Physical Therapists in Boise →- Alia M Cazier, PTPhysical Therapist · NPI 1144569336
- Catherine E Duke, PTPhysical Therapist · NPI 1114363199
- Cole Davis, PTPhysical Therapist · NPI 1982216693
- Jerrod AckermanPhysical Therapist · NPI 1487067005
- Julie DunnPhysical Therapist · NPI 1861840662
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Frequently Asked Questions
What is the NPI number of Matthew R Booth, PT?
The NPI number of Matthew R Booth, PT is 1265416291. It was assigned on December 2, 2005 and is currently active in the NPPES registry.
What is the specialty of Matthew R Booth, PT?
Matthew R Booth, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in OR under license number 3968.
Where does Matthew R Booth, PT practice?
The practice location is 415 E Parkcenter Blvd, Suite 114, Boise, ID 83706-6504. The office can be reached at 208-433-9211 (phone) or 208-433-9241 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1265416291 directly on the NPPES registry website.