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

Xtreme Prosthetics, LLC

Organization Prosthetic/Orthotic Supplier · NPI 1104613975

Xtreme Prosthetics, LLC is a Prosthetic/Orthotic Supplier in Pikeville, Kentucky. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

207 Hibbard St Ste 1
Pikeville, KY 41501-4792
Phone: (606) 506-1250
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthetic/Orthotic Supplier (primary) Taxonomy 335E00000X

Record details

NPI number1104613975
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bradford Gardner — Coo · (615) 864-8783
Other names Formotion Clinic
NPI enumeratedApril 23, 2025
Last updated in NPPESOctober 21, 2025
Certification dateOctober 21, 2025
Mailing address102 Woodmont Blvd Ste 400, Nashville, TN 37205-5217