Anderson Prosthetics & Orthotics, LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

ANDERSON PROSTHETICS & ORTHOTICS, LLC

Practice address

1113 N Fant St
Anderson, SC 29621-4819

Phone

(864) 225-1683

Fax

(864) 231-7374

NPI assigned

May 5, 2006

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

Phone

(615) 864-8783

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• ForMotion Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

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

Tax ID family

Anderson Prosthetics Orthotics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Anderson Prosthetics & Orthotics, LLC

  • Prosthetic/Orthotic Supplier
  • Charlotte, NC
  • NPI 1154920395
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Medical Center Orthotics and Prosthetics, LLC

  • Prosthetic/Orthotic Supplier
  • Fairfax, VA
  • NPI 1720751787

  Member Of

  NPD member

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian Bridges, CPO

  • Prosthetics Case Management
  • Anderson, SC
  • NPI 1043565666
  NPD (past)
• Dale Macarthur Kingsbury, CO

  • Prosthetics Case Management
  • Anderson, SC
  • NPI 1235575192
  NPD (past)
• Thomas Foster Martin Jr., C.P.O

  • Prosthetics Case Management
  • Anderson, SC
  • NPI 1083745558
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783900800000",
    "number": "1245288745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1113 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214819",
            "telephone_number": "864-225-1683",
            "fax_number": "864-231-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296214819",
            "telephone_number": "864-225-1683",
            "fax_number": "864-231-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON PROSTHETICS & ORTHOTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2026-07-13",
        "certification_date": "2026-07-13",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-864-8783"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "SC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1943",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00926428A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ForMotion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anderson Physical Therapy Clinic Inc
• Anderson Physical Therapy Clinic, Inc
• Anderson Physical Therapy Clinic, Inc.
• Anderson Place
• Anderson Podiatry Associates PC
• Anderson Psychiatry and Psychotherapy, LLC
• Anderson SC Opco LLC
• Anderson School District Five
• Anderson School District Five
• Anderson School District Four

• Prosthetic/Orthotic Supplier in Anderson, SC
• Providers in Anderson, SC by specialty
• Prosthetic/Orthotic Supplier in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.