Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Srt Prosthetics & Orthotics LLC

Organization Prosthetic/Orthotic Supplier · NPI 1508804295

Srt Prosthetics & Orthotics LLC is a Prosthetic/Orthotic Supplier in Fort Wayne, Indiana. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3818 W Jefferson Blvd
Fort Wayne, IN 46804-6840
Phone: (260) 432-8886
Fax: (260) 432-1137
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1508804295
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Gardner — Director · (615) 864-8783
Other names Formotion Clinic
NPI enumeratedJune 3, 2006
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026
Mailing address102 Woodmont Blvd Ste 400, Nashville, TN 37205-5217

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