OrganizationActiveAccepts Medicare
Xtreme Prosthetics, LLC.
NPI 1245534585 · Prosthetic/Orthotic Supplier · Somerset, KY
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1245534585
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bradford Gardner, Director(615) 864-8783
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs 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
1005 West Columbia St
Suite B
Somerset, KY 42503
Phone: (606) 451-0668
Fax: (606) 451-0078
Street-level locationGet directions
Mailing address
102 Woodmont Blvd Ste 400
Nashville, TN 37205-5217
Other names (DBA / former)
- Doing business as
- Formotion Clinic
- Former legal business name
- Xtreme Prosthetics & Orthotics, LLC
Registry dates
- Enumerated
- 2010-12-30
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.