Colton Broadhead, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11780453-2401 Issued in UT

Practice address

520 S Pierce Ave Ste 150
Mason City, IA 50401-2711

Phone

(641) 421-8077

NPI assigned

Feb 9, 2021

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)

Enrolled

State licenses

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

{
    "created_epoch": "1612828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612828800000",
    "number": "1962094128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CHARLESTOWN SQ",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014543",
            "telephone_number": "435-421-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S PIERCE AVE STE 150",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012711",
            "telephone_number": "641-421-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADHEAD",
        "first_name": "COLTON",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-09",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "11780453-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randall Scott Brenton, M.D.
• Bridget Marie Powers
• Douglas Alan Brink, LISW, LMFT
• Erik David Brink, D.O.
• Nicholas Broadbent, D.O.
• Deborah Broers, RN
• Sara Brooks
• Gabrielle Brown, PA
• Kari Brown, BA, CADC
• Shana Brunsvold, PHARM.D.

• Physical Therapist in Mason City, IA
• Providers in Mason City, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.