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VIRGINIA PROSTHETICS INC
NPI 1679570238
Prosthetic/Orthotic Supplier in Roanoke, VA

Active since June 28, 2005
4338 WILLIAMSON RD NW, ROANOKE, VA 24012(540) 366-8287(540) 366-0186 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2021, Dec 14, 2020, Apr 22, 2019 (3 updates tracked since 2019).

About Virginia Prosthetics Inc NPPES

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

VIRGINIA PROSTHETICS INC (NPI 1679570238), doing business as Formotion Clinic, is a healthcare organization registered as a prosthetic/orthotic supplier in Roanoke, Virginia and active in the NPI registry since June 2005. The organization lists Bradford Gardner, Director, as its authorized official.

NPPES Registry Identity

NPI1679570238
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameVIRGINIA PROSTHETICS INC
Location Address4338 WILLIAMSON RD NWRoanoke, VA 24012-2821
Mailing Address4338 Williamson Rd NwRoanoke, VA 24012-2821 · (540) 366-8287 · Fax (540) 366-0186
Phone(540) 366-8287
Fax(540) 366-0186
Organization SubpartNo
Authorized OfficialBradford GardnerDirector · (615) 864-8783
Enumeration DateJune 28, 2005
Last NPPES UpdateFebruary 16, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2026
✔ NPI 1679570238 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.
4338 WILLIAMSON RD NW, Roanoke, VA 24012
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Other Names 1

Doing Business AsFormotion Clinic

Other Identifiers 1

Medicaid009190091VA

Medical Equipment Supplier Medicare DMEPOS 7

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

Virginia Prosthetics Inc

DMEPOS supplier · Roanoke, VA
✔

Accepts Medicare assignment

Virginia Prosthetics Inc 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)20408903
Medicare Participant SinceJanuary 1, 2021
Supplier Location4338 Williamson Rd NWRoanoke, VA 24012
Phone(540) 366-8287
Supplier Specialties
MSC With Orthotic Personnel MSC With Prosthetic Personnel MSC With Orthotic-Prosthetic

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 Virginia Prosthetics Inc's NPI number?

The NPI number for Virginia Prosthetics Inc is 1679570238. It was assigned to this organization in the NPPES registry on June 28, 2005. The provider is doing business as ForMotion Clinic.

Where is Virginia Prosthetics Inc located?

Virginia Prosthetics Inc is located at 4338 Williamson Rd NW, Roanoke, VA 24012. The listed phone number is (540) 366-8287.

What is Virginia Prosthetics Inc's specialty?

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

Does Virginia Prosthetics Inc accept Medicare assignment for medical equipment?

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

When was this NPI record last updated?

The NPPES record for Virginia Prosthetics Inc was last updated on February 16, 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.