Individual provider Active NPI

Matthew E Kifer, DPT

  • Physical Therapist
  • Dalton Gardens, ID
National Provider Identifier
1003330473
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-6533 Issued in ID
Practice address
7736 N Government Way Ste 1
Dalton Gardens, ID 83815-8772
Phone
(208) 715-7303
Fax
(208) 498-2869
NPI assigned
Jul 27, 2017
Last updated
Feb 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT-6533 ID Primary

Addresses

Primary practice location

7736 N Government Way Ste 1
Dalton Gardens, ID 83815-8772

Mailing address

7736 N Government Way Ste 1
Dalton Gardens, ID 83815-8772
Phone (208) 715-7303

Other identifiers 1

IdentifierTypeStateIssuer
PT-6533OtherIDPHYSICAL THERAPY LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107001416 ID Practitioner - Physical Therapist in Private Practice 2860765799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elevate208 Physical TherapyGroup PAC ID 8224489349, 3 clinicians

Practice addresses (Care Compare)

7736 N Government Way
Suite 1
Dalton Gardens, ID 83815-8772
Phone (307) 254-1858

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate208 Physical Therapy Physical Therapist CurrentSince Dec 15, 2023 Accepting new patients
Summit Rehab Valley Corporation Physical Therapist PastSince Jul 27, 2017 Accepting new patients

Locations

7736 N Government Way
Ste 1
Dalton Gardens, ID 83815
Phone (208) 715-7303

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1003330473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7736 N GOVERNMENT WAY STE 1",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838158772",
            "telephone_number": "208-715-7303",
            "fax_number": "208-498-2869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7736 N GOVERNMENT WAY STE 1",
            "city": "DALTON GARDENS",
            "state": "ID",
            "postal_code": "838158772",
            "telephone_number": "208-715-7303",
            "fax_number": "208-498-2869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIFER",
        "first_name": "MATTHEW",
        "middle_name": "E",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-27",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-6533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "PT-6533",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton Gardens, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.