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XTREME PROSTHETICS, LLC.
NPI 1245534585
Prosthetic/Orthotic Supplier in Somerset, KY

Active since December 30, 2010
1005 WEST COLUMBIA ST, SUITE B, SOMERSET, KY 42503(606) 451-0668(606) 451-0078 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, May 14, 2021, Aug 3, 2017 (3 updates tracked since 2017).

About Xtreme Prosthetics, Llc. NPPES

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

XTREME PROSTHETICS, LLC. (NPI 1245534585), doing business as Formotion Clinic, is a healthcare organization registered as a prosthetic/orthotic supplier in Somerset, Kentucky and active in the NPI registry since December 2010. The organization lists Bradford Neil Gardner, Director, as its authorized official.

NPPES Registry Identity

NPI1245534585
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameXTREME PROSTHETICS, LLC.
Location Address1005 WEST COLUMBIA ST, SUITE BSomerset, KY 42503
Mailing Address102 Woodmont Blvd Ste 400Nashville, TN 37205-5217 · (615) 550-8774 · Fax (615) 454-5352
Phone(606) 451-0668
Fax(606) 451-0078
Organization SubpartNo
Authorized OfficialBradford Neil GardnerDirector · (615) 864-8783
Enumeration DateDecember 30, 2010
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1245534585 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.
1005 WEST COLUMBIA ST, Somerset, KY 42503
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Other Names 2

Doing Business AsFormotion Clinic
Former Legal Business NameXtreme Prosthetics & Orthotics, Llc

Other Identifiers 2

Other6469320001KY · Ptan
Other1245534585KY · Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 7

Medicare supplier enrollment and the product categories Xtreme Prosthetics carries, from the Medicare DMEPOS supplier directory.

Xtreme Prosthetics

DMEPOS supplier · Somerset, KYOperated by Xtreme Prosthetics, LLC
✔

Accepts Medicare assignment

Xtreme Prosthetics agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20532269
Medicare Participant SinceJanuary 4, 2011
Supplier Location1005 W Columbia St Ste BSomerset, KY 42503
Phone(606) 451-0668
Supplier Specialties
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.

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 1245534585. It was assigned to this organization in the NPPES registry on December 30, 2010. The provider is doing business as ForMotion Clinic. The provider was formerly known as Xtreme Prosthetics & Orthotics, LLC.

Where is Xtreme Prosthetics, LLC. located?

Xtreme Prosthetics, LLC. is located at 1005 West Columbia St Suite B, Somerset, KY 42503. The listed phone number is (606) 451-0668.

What is Xtreme Prosthetics, LLC.'s specialty?

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

Does Xtreme Prosthetics, LLC. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Xtreme Prosthetics accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Xtreme Prosthetics, LLC. accept?

Health plans from UnitedHealthcare list Xtreme Prosthetics, 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 Xtreme Prosthetics, LLC. was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.