Srt Prosthetics & Orthotics LLC
NPI 1508804295 · Prosthetic/Orthotic Supplier · Fort Wayne, IN
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Srt Prosthetics & Orthotics LLC is a Prosthetic/Orthotic Supplier organization in Fort Wayne, IN (NPI 1508804295).
Provider details
- NPI number
- 1508804295
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bradford Gardner, Director(615) 864-8783
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Other names (DBA / former)
- Doing business as
- Formotion Clinic
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2026-02-23
- Certified
- 2026-02-23
Frequently asked questions
- What is Srt Prosthetics & Orthotics LLC's NPI number?
- Srt Prosthetics & Orthotics LLC's National Provider Identifier (NPI) is 1508804295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Srt Prosthetics & Orthotics LLC?
- Srt Prosthetics & Orthotics LLC is classified in the NPPES registry as Prosthetic/Orthotic Supplier (Suppliers).
- Where is Srt Prosthetics & Orthotics LLC located?
- Srt Prosthetics & Orthotics LLC's practice location on file with NPPES is 3818 W Jefferson Blvd, Fort Wayne, IN 46804-6840.
- What is Srt Prosthetics & Orthotics LLC's phone number?
- The practice phone number listed in the NPPES registry for Srt Prosthetics & Orthotics LLC is (260) 432-8886.
- Does Srt Prosthetics & Orthotics LLC accept Medicare?
- Srt Prosthetics & Orthotics LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Srt Prosthetics & Orthotics LLC?
- The authorized official listed on Srt Prosthetics & Orthotics LLC's NPPES record is Bradford Gardner, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Srt Prosthetics & Orthotics LLC's NPI active?
- Yes — Srt Prosthetics & Orthotics LLC's NPI (1508804295) is active in the NPPES registry as of the last update on 2026-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.