Matador Physical Therapy and Performance LLC
NPI 1518875616ActiveOrganization· Physical Therapist· Nampa, ID
Physical Therapist in Nampa, Idaho, registered in NPPES in August 2026. The authorized official on file is Colby Dee Bullock, DPT, Physical Therapist.
Overview
| NPI | 1518875616 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 31, 2026 |
| Last updated in NPPES | Aug 31, 2026 |
| Certified by provider | Aug 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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