Bradley Isom

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA0012937 Issued in CO

Practice address

1650 Cochrane Cir
Fort Carson, CO 80913-4613

Phone

(719) 526-7120

NPI assigned

Sep 9, 2015

Last updated

Dec 31, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1497123277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 ROCHE DR N",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809181736",
            "telephone_number": "719-237-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FORT CARSON",
            "state": "CO",
            "postal_code": "809134613",
            "telephone_number": "719-526-7120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISOM",
        "first_name": "BRADLEY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "PTA0012937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colton Alexander Hust, DPT
• Lonnie L Imlay, M.D.
• Isaac Ingersoll, DO
• Iron Sight Eye Care, PLLC
• Laurie K Isaacson, RN
• Jennifer Iveland, PSYD
• Lauren Jackson
• Felicia Ann James, LCSW
• Tracy Ann Jamison, LCSW
• Amanda Denise Jarvenpaa, FNP

• Physical Therapy Assistant in Fort Carson, CO
• Providers in Fort Carson, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; 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.