Matador Physical Therapy and Performance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MATADOR PHYSICAL THERAPY AND PERFORMANCE LLC

Practice address

1227 N Galleria Dr
Nampa, ID 83687-5228

Phone

(208) 614-0329

NPI assigned

Aug 31, 2026

Last updated

Aug 31, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colby Dee Bullock, DPTNPI 1487339040

Title

Physical Therapist

Phone

(208) 614-0329

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Colby Dee Bullock, DPT

  • Physical Therapist
  • Salt Lake City, UT
  • NPI 1487339040
  NPD (past) Authorized official

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1518875616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 S PRIEST RIVER AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836865092",
            "telephone_number": "385-535-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 N GALLERIA DR",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836875228",
            "telephone_number": "208-614-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATADOR PHYSICAL THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-30",
        "status": "A",
        "authorized_official_last_name": "BULLOCK",
        "authorized_official_first_name": "COLBY",
        "authorized_official_middle_name": "DEE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "208-614-0329",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael A Masaitis, BS
• Desiree Irma Mascorro
• Shauna Leigh Mason
• Louis Alexander Massoth, LCSW
• Nohe Mata, PTA
• Kelly Javin Don Mather, MS, LCPC
• Brooke Dana Mathias
• Ginger Leigh Matkin, CST
• Brinley N Matous
• Stuart Matson

• Physical Therapist in Nampa, ID
• Providers in Nampa, ID by specialty
• Physical Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.