Form Orthotics & Prosthetics, PLLC
Form Orthotics & Prosthetics, PLLC is a Prosthetic/Orthotic Supplier in Rockford, Illinois. Registered with an NPI since 2026.
- In the registry since
- 2026
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4921 E State St Lowr LevelRockford, IL 61108-2275
Phone: (402) 212-7878
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1740113422 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Micah Alford — Founder · (402) 212-7878 |
| NPI enumerated | June 4, 2026 |
| Last updated in NPPES | June 4, 2026 |
| Certification date | June 4, 2026 |
| Mailing address | 4921 E State St Lowr Level, Rockford, IL 61108-2275 |
Other providers in Rockford
-
Felicia Andersen
421 S Mulford Rd Ste 203, Rockford, IL 61108-3010 · (779) 210-2309
-
Cpo Services, Inc
483 N Mulford Rd Ste 4, Rockford, IL 61107-5164 · (815) 489-3908
-
Cranial Technologies, Inc
6525 Lexus Dr, Rockford, IL 61108 · (844) 447-5894
-
Northern Prosthetics & Orthopedic Inc
2629 Charles St, Rockford, IL 61108-1608 · (815) 226-0444