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

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
Show map & directions

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
Mailing address16083 Sw Upper Boones Ferry Rd, Suite 300, Tigard, OR 97224-7736

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