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PREMIER PROSTHETICS AND ORTHOTICS
NPI 1003045436
Prosthetic/Orthotic Supplier in Saint Louis, MO

Active since July 07, 2009
343 S KIRKWOOD RD STE 200, SAINT LOUIS, MO 63122(314) 262-8900(314) 743-3575 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2026, Apr 9, 2026, Oct 26, 2018 (3 updates tracked since 2018).

About Premier Prosthetics And Orthotics NPPES

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

PREMIER PROSTHETICS AND ORTHOTICS (NPI 1003045436), doing business as Formotion Clinic, is a healthcare organization registered as a prosthetic/orthotic supplier in Saint Louis, Missouri and active in the NPI registry since July 2009. The organization lists Bradford Neil Gardner, Director Of Shared Services, as its authorized official.

NPPES Registry Identity

NPI1003045436
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NamePREMIER PROSTHETICS AND ORTHOTICS
Location Address343 S KIRKWOOD RD STE 200Saint Louis, MO 63122-6195
Mailing Address343 S Kirkwood Rd Ste 200Saint Louis, MO 63122-6195 · (314) 262-8900 · Fax (314) 743-3575
Phone(314) 262-8900
Fax(314) 743-3575
Organization SubpartNo
Authorized OfficialBradford Neil GardnerDirector Of Shared Services · (615) 864-8783
Enumeration DateJuly 7, 2009
Last NPPES UpdateApril 29, 20263 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1003045436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in MO · B00326665
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
343 S KIRKWOOD RD STE 200, Saint Louis, MO 63122
Open in Google Maps ↗

Other Names 1

Doing Business AsFormotion Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Premier Prosthetics And Orthotics L carries, from the Medicare DMEPOS supplier directory.

Premier Prosthetics And Orthotics L

DMEPOS supplier · Saint Louis, MOOperated by Premier Prosthetics And Orthotics
⋮

Does not accept Medicare assignment

Premier Prosthetics And Orthotics L has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20551001
Medicare Participant SinceAugust 24, 2009
Supplier Location343 S Kirkwood Rd Ste 200Saint Louis, MO 63122
Phone(314) 262-8900
Supplier Specialties
Orthotic Personnel Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Orthoses: Prefabricated (Non-Custom Fabricated)
Met pads, Heel pads, Heel spur pads
Orthoses: Off-The-Shelf
Met pads, Heel pads, Heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
Diabetic Shoes and Inserts
Shoes, Socks, Insoles
Diabetic Shoes/Inserts - Custom
Custom fabricated shoes, socks, & insoles
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELE HOOG
Social Worker (Clinical)
343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
St. Louis County (314) 206-3400
MS. SHANNON CHRISTINE PULTZ
Case Manager/Care Coordinator
343 S KIRKWOOD RD STE 200
SAINT LOUIS, MO 63122
St. Louis County (314) 206-3400
MS. DIONNE HENDERSON
Case Manager/Care Coordinator
343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
St. Louis County (314) 206-3400
BJC BEHAVIORAL HEALTH
Case Management
343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
St. Louis County (314) 206-3912
MICHAEL ERLENBUSH
Case Manager/Care Coordinator
343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
St. Louis County (314) 206-3400
MS. SARAH CHRISTINE METROPOULOS B.S
Community Health Worker
343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
St. Louis County (314) 206-3428
ELISSA LANETHARP
Case Manager/Care Coordinator
343 S KIRKWOOD RD STE 200
SAINT LOUIS, MO 63122
St. Louis County (314) 807-8909
KRISTINA MARIE STEEN MSW
Case Manager/Care Coordinator
343 S KIRKWOOD RD STE 200
KIRKWOOD, MO 63122
St. Louis County (314) 206-3400

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 Premier Prosthetics And Orthotics's NPI number?

The NPI number for Premier Prosthetics And Orthotics is 1003045436. It was assigned to this organization in the NPPES registry on July 7, 2009. The provider is doing business as ForMotion Clinic.

Where is Premier Prosthetics And Orthotics located?

Premier Prosthetics And Orthotics is located at 343 S Kirkwood Rd Ste 200, Saint Louis, MO 63122. The listed phone number is (314) 262-8900.

What is Premier Prosthetics And Orthotics's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

Does Premier Prosthetics And Orthotics accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Premier Prosthetics And Orthotics L does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does Premier Prosthetics And Orthotics accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 4 other insurers list Premier Prosthetics And Orthotics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Premier Prosthetics And Orthotics was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.