Individual provider Active NPI

Matthew Rios-Lopez, PT, DPT

  • Physical Therapist
  • Caldwell, ID
National Provider Identifier
1487510772
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9071598 Issued in ID
Practice address
120 E Pine St
Caldwell, ID 83605-4836
Phone
(208) 701-0053
Fax
(208) 957-5461
NPI assigned
Dec 30, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 9071598 ID Primary

Addresses

Primary practice location

120 E Pine St
Caldwell, ID 83605-4836

Mailing address

120 E Pine St
Caldwell, ID 83605-4836
Phone (208) 701-0053

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260303003987 ID Practitioner - Physical Therapist in Private Practice 4284116898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabauthority LLCGroup PAC ID 1355333931, 48 clinicians

Practice addresses (Care Compare)

120 E Pine St
Caldwell, ID 83605-4836
Phone (208) 454-5142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9071598IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabauthority, LLC Physical Therapist CurrentSince Jan 12, 2026 Accepting new patients

Locations

5520 N Eagle Rd
Ste 102
Boise, ID 83713
Phone (208) 938-5255

1109 S Broadway Ave
Ste 120
Boise, ID 83706
Phone (208) 473-4410

120 E Pine St
Caldwell, ID 83605
Phone (208) 454-5142

337 W Iowa Ave
Nampa, ID 83686
Phone (208) 305-6838

64 S Star Rd
#2
Star, ID 83669
Phone (208) 488-4250

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1487510772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E PINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054836",
            "telephone_number": "208-701-0053",
            "fax_number": "208-957-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E PINE ST",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836054836",
            "telephone_number": "208-701-0053",
            "fax_number": "208-957-5461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS-LOPEZ",
        "first_name": "MATTHEW",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "9071598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caldwell, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2025; 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.