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

Nohe Mata, PTA

Individual provider Physical Therapy Assistant · NPI 1083141394

Nohe Mata, PTA is a Physical Therapy Assistant in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2017.

Licensed in
ID
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

4301 Garrity Blvd Ste 103
Nampa, ID 83687-9222
Phone: (208) 463-0700
Fax: (208) 463-0700
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA-5158 (ID)

Record details

NPI number1083141394
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMay 17, 2017
Last updated in NPPESMay 17, 2017
Mailing address1010 Holly St, Nampa, ID 83686-5825

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