Bradley Larosa, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

20003027559 Issued in MO

Practice address

955 E Trafficway St
Springfield, MO 65802-3671

Phone

(618) 830-7511

NPI assigned

Apr 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295799351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 RUCKER LN",
            "city": "STAUNTON",
            "state": "IL",
            "postal_code": "620884175",
            "telephone_number": "618-635-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 E TRAFFICWAY ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658023671",
            "telephone_number": "618-830-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSA",
        "first_name": "BRADLEY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MO",
            "license": "20003027559",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "96001870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alma M Lansdon, WHNP
• Anne Kristen Lantz, MHS, CCC-SLP
• Carla Marie Lantz, CNM
• Esperanza Marlen Lara
• Larimore, Baker, Brown, & Associates, Inc
• Dillon Michael Larson
• Kenneth W. Larson, MD
• Sara Larson, RN
• Jacob Lasc
• Dillon Sawyer Lassley

• Athletic Trainer in Springfield, MO
• Providers in Springfield, MO by specialty
• Athletic Trainer in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.