Xtreme Prosthetics LLC.
NPI 1992249718 · Prosthetic/Orthotic Supplier · Glasgow, KY
Enrolled with Medicare as Dme Supplier - Prosthetic Personnel · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Xtreme Prosthetics LLC. is a Prosthetic/Orthotic Supplier organization in Glasgow, KY (NPI 1992249718).
Provider details
- NPI number
- 1992249718
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Bradford Gardner, Director(615) 864-8783
- License
- 135770 (KY)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
- 2016-12-13
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Frequently asked questions
- What is Xtreme Prosthetics LLC.'s NPI number?
- Xtreme Prosthetics LLC.'s National Provider Identifier (NPI) is 1992249718, 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 400 S Broadway St, Glasgow, KY 42141-2502.
- What is Xtreme Prosthetics LLC.'s phone number?
- The practice phone number listed in the NPPES registry for Xtreme Prosthetics LLC. is (270) 629-5462.
- Does Xtreme Prosthetics LLC. accept Medicare?
- Xtreme Prosthetics 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 Xtreme Prosthetics LLC.?
- The authorized official listed on Xtreme Prosthetics 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 Xtreme Prosthetics LLC.'s NPI active?
- Yes — Xtreme Prosthetics LLC.'s NPI (1992249718) is active in the NPPES registry as of the last update on 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.