Organization
SRT PROSTHETICS & ORTHOTICS LLC
Active
Other names
ForMotion Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE SIEBENALER (DIRECTOR OF OPERATIONS)
(866) 633-3961
Entity
Organization
Contact information
Practice address
217 E SOUTHWAY BLVD STE 100, KOKOMO, IN 46902-3577
(765) 865-3668
(765) 865-9640
Mailing address
102 WOODMONT BLVD STE 400, NASHVILLE, TN 37205-5217
(615) 550-8774
(615) 454-5352
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
05/31/2006
Last updated
02/23/2026
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up