OrganizationActive
Xtreme Prosthetics, LLC.
NPI 1104613975 · Prosthetic/Orthotic Supplier · Pikeville, KY
Xtreme Prosthetics, LLC. is a Prosthetic/Orthotic Supplier organization in Pikeville, KY (NPI 1104613975).
Provider details
- NPI number
- 1104613975
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bradford Gardner, Coo(615) 864-8783
Specialties & taxonomies
Suppliers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
207 Hibbard St Ste 1
Pikeville, KY 41501-4792
Phone: (606) 506-1250
Street-level locationGet directions
Mailing address
102 Woodmont Blvd Ste 400
Nashville, TN 37205-5217
Other names (DBA / former)
- Doing business as
- Formotion Clinic
Registry dates
- Enumerated
- 2025-04-23
- Last updated
- 2025-10-21
- Certified
- 2025-10-21
Frequently asked questions
- What is Xtreme Prosthetics, LLC.'s NPI number?
- Xtreme Prosthetics, LLC.'s National Provider Identifier (NPI) is 1104613975, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Xtreme Prosthetics, LLC.?
- Xtreme Prosthetics, LLC. is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Xtreme Prosthetics, LLC. located?
- Xtreme Prosthetics, LLC.'s practice location on file with NPPES is 207 Hibbard St Ste 1, Pikeville, KY 41501-4792.
- What is Xtreme Prosthetics, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Xtreme Prosthetics, LLC. is (606) 506-1250.
- Who is the authorized official for Xtreme Prosthetics, LLC.?
- The authorized official listed on Xtreme Prosthetics, LLC.'s NPPES record is Bradford Gardner, Coo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Xtreme Prosthetics, LLC.'s NPI active?
- Yes — Xtreme Prosthetics, LLC.'s NPI (1104613975) is active in the NPPES registry as of the last update on 2025-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.