Organization Active NPI

Reform Prosthetics LLC

  • Prosthetic/Orthotic Supplier
  • Maumee, OH
National Provider Identifier
1447729553
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
REFORM PROSTHETICS LLC
Practice address
4444 Keystone Dr Ste F
Maumee, OH 43537-8796
Phone
(419) 322-2303
NPI assigned
Nov 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Zachary WeberNPI 1700189917
Title
Clinical Director
Phone
(865) 297-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

4444 Keystone Dr Ste F
Maumee, OH 43537-8796

Mailing address

3652 Deer Creek Dr
Maumee, OH 43537-7902
Phone (865) 297-6600

Other identifiers 1

IdentifierTypeStateIssuer
1700189917OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190520000963 OH DME Supplier - Prosthetic Personnel 4981947702 Practice locations: Maumee, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Reform Prosthetics LLC4444 Keystone Dr, Maumee, OH 43537-8796(419) 322-2303 Limb Prostheses Accepts assignmentParticipating since May 20, 2019

National Provider Directory

National Provider Directory

Locations

4444 Keystone Dr
Ste F
Maumee, OH 43537
Phone (419) 322-2303

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1447729553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3652 DEER CREEK DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435377902",
            "telephone_number": "865-297-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 KEYSTONE DR STE F",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435378796",
            "telephone_number": "419-322-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM PROSTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "865-297-6600"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700189917",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; 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.