Premier Prosthetics and Orthotics

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

B00326665 Issued in MO

Legal business name

PREMIER PROSTHETICS AND ORTHOTICS

Doing business as

ForMotion Clinic

Practice address

343 S Kirkwood Rd Ste 200
Saint Louis, MO 63122-6195

Phone

(314) 262-8900

Fax

(314) 743-3575

NPI assigned

Jul 7, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bradford Neil Gardner

Title

Director of Shared Services

Phone

(615) 864-8783

Specialties & licenses 1

Addresses

Other names 1

• ForMotion Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777420800000",
    "number": "1003045436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 S KIRKWOOD RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226195",
            "telephone_number": "314-262-8900",
            "fax_number": "314-743-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 S KIRKWOOD RD STE 200",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226195",
            "telephone_number": "314-262-8900",
            "fax_number": "314-743-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER PROSTHETICS AND ORTHOTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-07",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "DIRECTOR OF SHARED SERVICES",
        "authorized_official_telephone_number": "615-864-8783"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "MO",
            "license": "B00326665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ForMotion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Premier Spine and Joint LLC
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• Premire Companion Care Agency LLC.
• Premise Health of Missouri Medical PC
• Premium Home Health Services LLC

• Prosthetic/Orthotic Supplier in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Prosthetic/Orthotic Supplier in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.