XTREME PROSTHETICS, LLC.
NPI 1104613975
Prosthetic/Orthotic Supplier in Pikeville, KY

Q: What is Xtreme Prosthetics, LLC.'s NPI number?

The NPI number for Xtreme Prosthetics, LLC. is 1104613975. It was assigned to this organization in the NPPES registry on April 23, 2025. The provider is doing business as ForMotion Clinic.

Q: What is Xtreme Prosthetics, LLC.'s specialty?

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

Active since April 23, 2025

207 HIBBARD ST STE 1, PIKEVILLE, KY 41501(606) 506-1250 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Xtreme Prosthetics, Llc. NPPES

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

XTREME PROSTHETICS, LLC. (NPI 1104613975), doing business as Formotion Clinic, is a healthcare organization registered as a prosthetic/orthotic supplier in Pikeville, Kentucky and active in the NPI registry since April 2025. The organization lists Bradford Gardner, Coo, as its authorized official.

NPPES Registry Identity

NPI1104613975

Entity TypeOrganization

Primary Taxonomy335E00000X

Legal Business NameXTREME PROSTHETICS, LLC.

Location Address207 HIBBARD ST STE 1Pikeville, KY 41501-4792

Mailing Address102 Woodmont Blvd Ste 400Nashville, TN 37205-5217 · (615) 864-8790 · Fax (615) 864-8790

Phone(606) 506-1250

Organization SubpartNo

Authorized OfficialBradford GardnerCoo · (615) 864-8783

Enumeration DateApril 23, 2025

Last NPPES UpdateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1104613975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers

Taxonomy Code335E00000X

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.

207 HIBBARD ST STE 1, Pikeville, KY 41501

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Other Names 1

Doing Business AsFormotion Clinic

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 Xtreme Prosthetics, LLC.'s NPI number?

The NPI number for Xtreme Prosthetics, LLC. is 1104613975. It was assigned to this organization in the NPPES registry on April 23, 2025. The provider is doing business as ForMotion Clinic.

Where is Xtreme Prosthetics, LLC. located?

Xtreme Prosthetics, LLC. is located at 207 Hibbard St Ste 1, Pikeville, KY 41501. The listed phone number is (606) 506-1250.

What is Xtreme Prosthetics, LLC.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Xtreme Prosthetics, LLC. was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.