Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Ryan Booth, PT

Individual provider Physical Therapist · NPI 1265416291

Matthew Ryan Booth, PT is a Physical Therapist in Boise, Idaho. Licensed in Idaho and Oregon. Registered with an NPI since 2005.

Licensed in
ID, OR
In the registry since
2005
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

415 E Parkcenter Blvd Ste 114
Boise, ID 83706-6504
Phone: (208) 433-9211
Fax: (208) 433-9241
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence RPT1329 (ID)
Physical Therapist Taxonomy 225100000X · Licence 3968 (OR)

Record details

NPI number1265416291
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedDecember 2, 2005
Last updated in NPPESOctober 9, 2014

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