NPIMap

Organization Active NPI

Virginia Prosthetics Inc

Doing business as ForMotion Clinic

  • Prosthetic/Orthotic Supplier
  • Fishersville, VA
National Provider Identifier
1770569881
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
VIRGINIA PROSTHETICS INC
Doing business as
ForMotion Clinic
Practice address
1577 Jefferson Hwy Ste 101
Fishersville, VA 22939-2279
Phone
(540) 949-4248
Fax
(540) 949-4228
NPI assigned
Dec 20, 2005
Last updated
Feb 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

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

Addresses

Primary practice location

1577 Jefferson Hwy Ste 101
Fishersville, VA 22939-2279

Mailing address

4338 Williamson Rd NW
Roanoke, VA 24012-2821
Phone (540) 366-8287

Other identifiers 1

IdentifierTypeStateIssuer
010151228MedicaidVA

Other names 1

  • ForMotion Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930092772 VA DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 3072631555 Practice locations: Fishersville, VA
O20180209000484 VA Part B Supplier - Clinic/Group Practice 2163782210 Receives reassigned benefits from 1 practitioner
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Charlottesville, VA

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
Virginia Prosthetics, Inc.1577 Jefferson Hwy, Fishersville, VA 22939-2279(540) 949-4248 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses Accepts assignmentParticipating since Jan 1, 2021

National Provider Directory

National Provider Directory
Tax ID family
Virginia Prosthetics Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1577 Jefferson Hwy
Ste 101
Fishersville, VA 22939
Phone (540) 949-4248

70 Medical Ctr Dr
Ste 307
Fishersville, VA 22939

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771200000000",
    "number": "1770569881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 WILLIAMSON RD NW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240122821",
            "telephone_number": "540-366-8287",
            "fax_number": "540-366-0186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1577 JEFFERSON HWY STE 101",
            "city": "FISHERSVILLE",
            "state": "VA",
            "postal_code": "229392279",
            "telephone_number": "540-949-4248",
            "fax_number": "540-949-4228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA PROSTHETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010151228",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ForMotion Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fishersville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.