COLOSSEUM PHYSICAL THERAPY & PERFORMANCE, LLC
NPI 1457033102
Physical Therapist - Orthopedic in Farmington, NM

Active since August 02, 2023
500 E MAIN ST, FARMINGTON, NM 87401(607) 725-3972 Get Directions Write a Review

NPPES record last updated: August 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Colosseum Physical Therapy & Performance, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLOSSEUM PHYSICAL THERAPY & PERFORMANCE, LLC (NPI 1457033102) is a healthcare organization registered as an orthopedic in Farmington, New Mexico and active in the NPI registry since August 2023. The organization lists Matthew Shell, Physical Therapist/owner, as its authorized official.

NPPES Registry Identity

NPI1457033102
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameCOLOSSEUM PHYSICAL THERAPY & PERFORMANCE, LLC
Location Address500 E MAIN STFarmington, NM 87401-2712
Mailing Address500 E Main StFarmington, NM 87401-2712 · (607) 725-3972
Organization SubpartNo
Authorized OfficialMatthew ShellPhysical Therapist/owner · (607) 725-3972
Enumeration DateAugust 2, 2023
NPPES CertifiedAugust 2, 2023
✔ NPI 1457033102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
500 E MAIN ST, Farmington, NM 87401

Other Names 1

Other NameColosseum

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colosseum Physical Therapy & Performance, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Colosseum Physical Therapy & Performance, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Therapist in Private Practice
NPI 1962827568
500 E MAIN ST
Farmington, NM 87401
(607) 725-3972
✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Colosseum Physical Therapy & Performance, LLC's NPI number?

The NPI number for Colosseum Physical Therapy & Performance, LLC is 1457033102. It was assigned to this organization in the NPPES registry on August 2, 2023. The provider is also known as Colosseum.

Where is Colosseum Physical Therapy & Performance, LLC located?

Colosseum Physical Therapy & Performance, LLC is located at 500 E Main St, Farmington, NM 87401. The listed phone number is (607) 725-3972.

What is Colosseum Physical Therapy & Performance, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Colosseum Physical Therapy & Performance, LLC enrolled in Medicare?

Yes. Colosseum Physical Therapy & Performance, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Colosseum Physical Therapy & Performance, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Colosseum Physical Therapy & Performance, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Colosseum Physical Therapy & Performance, LLC was last updated on August 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.