Xtreme Prosthetics, LLC.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

XTREME PROSTHETICS, LLC.

Doing business as

SRT Prosthetics & Orthotics

Practice address

4122 Shelbyville Rd Ste 108
Louisville, KY 40207-3206

Phone

(503) 308-4144

NPI assigned

Nov 19, 2021

Last updated

Nov 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aaron Kratohvil

Title

VP of Finance, Controller

Phone

(615) 550-8760

Specialties & licenses 1

Addresses

Other names 1

• SRT Prosthetics & Orthotics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Willam Eatl Bray Jr., C.P.O.

  • Prosthetic/Orthotic Supplier
  • Somerset, KY
  • NPI 1437463262
  NPD (past)

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637280000000",
    "number": "1063179497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WOODMONT BLVD STE 120",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372055249",
            "telephone_number": "161-586-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4122 SHELBYVILLE RD STE 108",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402073206",
            "telephone_number": "503-308-4144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XTREME PROSTHETICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "KRATOHVIL",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "VP OF FINANCE, CONTROLLER",
        "authorized_official_telephone_number": "615-550-8760"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SRT Prosthetics & Orthotics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Xenon Anesthesia of Kentucky PLLC
• Eric Liang Xia, M.D.
• Benjamin Wenyuan Xie
• Helen Xin
• Xpress Diagnostic Center Inc
• Emily Xu
• Jimmy Xu, MD
• Justin Youting Xu
• Ke Xu, MS, LAT, ATC
• Manting Xu

• Prosthetic/Orthotic Supplier in Louisville, KY
• Providers in Louisville, KY by specialty
• Prosthetic/Orthotic Supplier in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.