Brady Boring, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

05016459A Issued in IN

Practice address

1275 W Pueblo Blvd
Pueblo, CO 81004-3866

Phone

(719) 542-0589

NPI assigned

Aug 28, 2026

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

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1942118294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10115 HYDE PARK",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477117115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 W PUEBLO BLVD",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043866",
            "telephone_number": "719-542-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORING",
        "first_name": "BRADY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05016459A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Booth, CRNA
• Martina Louise Borden, R.N.
• Paula Borden, R.M.T, L.L.C.C
• Sheryce Borgatti
• Jenna E Borgstrom
• Laura Borrego Gibbs, LPC
• Marlee Bos
• Kimberly Anne Boston, L.M.T.
• Serenity Bouchard
• Genevieve C Boulay, CRNA

• Physical Therapist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.