1. Home
  2. Directory
  3. Indiana
  4. Muncie
  5. Prosthetic Orthotic Supplier
  6. NPI Profile

SRT PROSTHETICS & ORTHOTICS LLC
NPI 1134417009
Prosthetic/Orthotic Supplier in Muncie, IN

Active since July 13, 2011
3301 W BETHEL AVE, MUNCIE, IN 47304(419) 633-3961(419) 633-3981 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2024, Feb 18, 2019, Oct 16, 2018 and 1 more (4 updates tracked since 2018).

About Srt Prosthetics & Orthotics Llc NPPES

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

SRT PROSTHETICS & ORTHOTICS LLC (NPI 1134417009), doing business as Formotion Clinic, is a healthcare organization registered as a prosthetic/orthotic supplier in Muncie, Indiana and active in the NPI registry since July 2011. The organization lists Leslie Siebenaler, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1134417009
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSRT PROSTHETICS & ORTHOTICS LLC
Location Address3301 W BETHEL AVEMuncie, IN 47304-5402
Mailing Address102 Woodmont Blvd Ste 400Nashville, TN 37205-5217 · (615) 550-8774 · Fax (615) 454-5352
Phone(419) 633-3961
Fax(419) 633-3981
Organization SubpartNo
Authorized OfficialLeslie SiebenalerDirector Of Operations · (866) 633-3961
Enumeration DateJuly 13, 2011
Last NPPES UpdateFebruary 23, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1134417009 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.
3301 W BETHEL AVE, Muncie, IN 47304
Open in Google Maps ↗

Other Names 1

Doing Business AsFormotion Clinic

Other Identifiers 1

Medicaid200360760GIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Srt Prosthetics & Orthotics LLC carries, from the Medicare DMEPOS supplier directory.

Srt Prosthetics & Orthotics LLC

DMEPOS supplier · Muncie, IN
⋮

Does not accept Medicare assignment

Srt Prosthetics & Orthotics LLC 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)20606345
Medicare Participant SinceFebruary 14, 2002
Supplier Location3301 W Bethel AveMuncie, IN 47304
Phone(765) 896-9389
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

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

BRYAN KING CPO
Prosthetic/Orthotic Supplier
3301 W BETHEL AVE
MUNCIE, IN 47304
Delaware County (765) 896-9389

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 Srt Prosthetics & Orthotics LLC's NPI number?

The NPI number for Srt Prosthetics & Orthotics LLC is 1134417009. It was assigned to this organization in the NPPES registry on July 13, 2011. The provider is doing business as ForMotion Clinic.

Where is Srt Prosthetics & Orthotics LLC located?

Srt Prosthetics & Orthotics LLC is located at 3301 W Bethel Ave, Muncie, IN 47304. The listed phone number is (419) 633-3961.

What is Srt Prosthetics & Orthotics LLC's specialty?

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

Does Srt Prosthetics & Orthotics LLC accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Srt Prosthetics & Orthotics LLC 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 Srt Prosthetics & Orthotics LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Srt Prosthetics & Orthotics LLC 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 Srt Prosthetics & Orthotics LLC was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.