XTREME PROSTHETICS LLC. NPI 1063179497

NPI Information

  • NPI: 1063179497
  • Provider Name: XTREME PROSTHETICS, LLC.
  • Classification: Prosthetic/Orthotic Supplier - 335E00000X
  • Entity Type: Organization
  • Address: 4122 SHELBYVILLE RD STE 108
    LOUISVILLE, KY
    ZIP 40207
  • Phone: (503) 308-4144

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NPI Details

XTREME PROSTHETICS, LLC. is a prosthetic orthotic supplier in Louisville, KY. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. XTREME PROSTHETICS, LLC. NPI is 1063179497. The provider is registered as an organization entity type.

The provider's business location address is:

4122 SHELBYVILLE RD STE 108
LOUISVILLE, KY
ZIP 40207-206
Phone: (503) 308-4144

The provider's authorized official is Aaron Kratohvil .
The authorized official title is Vp Of Finance, Controller and has the following contact phone number (615) 550-8760.

The enumeration date for this NPI number is 11/19/2021 and was last updated on 11/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1335E00000XProsthetic/Orthotic SupplierYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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