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SRT PROSTHETICS & ORTHOTICS LLC
NPI 1699712695
Prosthetic/Orthotic Supplier in Kokomo, IN

Active since May 31, 2006
217 E SOUTHWAY BLVD STE 100, KOKOMO, IN 46902(765) 865-3668(765) 865-9640 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 22, 2024, Feb 18, 2019, Oct 16, 2018 and 2 more (5 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 1699712695), doing business as Formotion Clinic, is a healthcare organization registered as a prosthetic/orthotic supplier in Kokomo, Indiana and active in the NPI registry since May 2006. The organization lists Leslie Siebenaler, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1699712695
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameSRT PROSTHETICS & ORTHOTICS LLC
Location Address217 E SOUTHWAY BLVD STE 100Kokomo, IN 46902-3577
Mailing Address102 Woodmont Blvd Ste 400Nashville, TN 37205-5217 · (615) 550-8774 · Fax (615) 454-5352
Phone(765) 865-3668
Fax(765) 865-9640
Organization SubpartNo
Authorized OfficialLeslie SiebenalerDirector Of Operations · (866) 633-3961
Enumeration DateMay 31, 2006
Last NPPES UpdateFebruary 23, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1699712695 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.
217 E SOUTHWAY BLVD STE 100, Kokomo, IN 46902
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Other Names 1

Doing Business AsFormotion Clinic

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 · Kokomo, IN
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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)20606375
Medicare Participant SinceFebruary 14, 2002
Supplier Location217 E Southway Blvd Ste 100Kokomo, IN 46902
Phone(765) 865-3668
Provider TypeCertified Orth/Pros/Pedorthist
Supplier Specialties
Orthotic 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 Srt Prosthetics & Orthotics LLC's NPI number?

The NPI number for Srt Prosthetics & Orthotics LLC is 1699712695. It was assigned to this organization in the NPPES registry on May 31, 2006. The provider is doing business as ForMotion Clinic.

Where is Srt Prosthetics & Orthotics LLC located?

Srt Prosthetics & Orthotics LLC is located at 217 E Southway Blvd Ste 100, Kokomo, IN 46902. The listed phone number is (765) 865-3668.

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.