NPI
Premier Prosthetics and Orthotics
Doing business as Formotion Clinic. NPI 1003045436
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2009-07-07
- Last updated
- 2026-04-29
Run it in Rivvi
Check your whole roster against NPI.
Deactivated, mismatched or missing NPIs across every provider, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Is this you? Set up your practice's workspace from this NPI.
Specialties
Licenses
- License MO
- B00326665
Location
- Practice location
- 343 S Kirkwood Rd Ste 200
- City
- Saint Louis MO
- Postal code
- 63122-6195
- Phone
- (314) 262-8900
Organization contact
- Name
- Bradford Gardner
- Title
- Director of Shared Services
- Phone
- (615) 864-8783
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Saint Louis, MO. 34,662 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
Request removal of this page
This removes the page from rivvi.ai. It does not change the record in NPPES.