XTREME PROSTHETICS LLC.
NPI 1992249718
Prosthetic/Orthotic Supplier in Glasgow, KY

Active since December 13, 2016
400 S BROADWAY ST, GLASGOW, KY 42141(270) 629-5462 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, Dec 13, 2016 (3 updates tracked since 2016).

About Xtreme Prosthetics Llc. NPPES

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

XTREME PROSTHETICS LLC. (NPI 1992249718), doing business as Formotion Clinic, is a healthcare organization registered as a prosthetic/orthotic supplier in Glasgow, Kentucky and active in the NPI registry since December 2016. The organization lists Bradford Neil Gardner, Director, as its authorized official.

NPPES Registry Identity

NPI1992249718
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameXTREME PROSTHETICS LLC.
Location Address400 S BROADWAY STGlasgow, KY 42141-2502
Mailing Address102 Woodmont Blvd Ste 400Nashville, TN 37205-5217 · (615) 550-8774
Organization SubpartNo
Authorized OfficialBradford Neil GardnerDirector · (615) 864-8783
Enumeration DateDecember 13, 2016
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1992249718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License Licensed in KY · 135770
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.
400 S BROADWAY ST, Glasgow, KY 42141

Other Names 1

Doing Business AsFormotion Clinic

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 3

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

Xtreme Prosthetics, LLC

DMEPOS supplier · Glasgow, KY

Accepts Medicare assignment

Xtreme Prosthetics, LLC 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)20532263
Medicare Participant SinceJanuary 4, 2011
Supplier Location400 S Broadway StGlasgow, KY 42141
Supplier Specialties
Prosthetic Personnel

Medicare Product Categories

Orthoses: Custom Fabricated
Custom met pads, Custom heel pads, Custom heel spur pads
Limb Prostheses
Prosthetic arms, Prosthetic feet, Prosthetic knees
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 1992249718. It was assigned to this organization in the NPPES registry on December 13, 2016. The provider is doing business as ForMotion Clinic.

Where is Xtreme Prosthetics LLC. located?

Xtreme Prosthetics LLC. is located at 400 S Broadway St, Glasgow, KY 42141. The listed phone number is (270) 629-5462.

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, LLC 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 Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee 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.