ForMotion Clinic – Durable Medical Equipment & Medical Supplies, NPI 1629043047

ForMotion Clinic is a healthcare provider. based in Henderson, Nevada. specializing in Durable Medical Equipment & Medical Supplies. The organization holds a License No. 5503020001 (NV). The NPI Number for ForMotion Clinic is 1629043047

Main info

Organization
Name
ForMotion Clinic
NPI
1629043047
Phone
(702) 293-5502
Address
8915 S PECOS RD
Authorized Official
BRADFORD GARDNER COO
Enumeration Date
20 February 2006
Last Update Date
2 June 2026
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness90
Years active:20State licenses:1Digital endpoints

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Provider Addresses for ForMotion Clinic

  • 8915, South Pecos Road, Paradise, Clark County, Nevada, 89074, United States

    SUITE 18A

    HENDERSON, NV 890747149

    Phone: (702) 293-5502

    Fax: (702) 242-5572

    Type: Mailing

  • 102 WOODMONT BLVD STE 400

    NASHVILLE, TN 372055217

    Phone: (615) 864-8790

    Fax: (615) 454-5352

    Type: Mailing

  • 102 WOODMONT BLVD STE 120

    NASHVILLE, TN 372055249

    Phone: (615) 864-8790

    Fax: (615) 454-5352

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-09-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-06-30 (16 days away).

Enrollment records

1

Earliest due date

2026-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100930062723OOrthotic PersonnelNV2026-06-30

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89074)

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Reviews

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Frequently asked questions

Is ForMotion Clinic listed with a National Provider Identifier?
Yes — ForMotion Clinic has NPI 1629043047 on file in the registry.
Is ForMotion Clinic shown as active in public data?
Registry records indicate ForMotion Clinic maintains an active NPI.
What expertise is attributed to ForMotion Clinic?
ForMotion Clinic's specialty line reads Durable Medical Equipment & Medical Supplies. Clinical services aligned with this taxonomy classification.
Is ForMotion Clinic located near Henderson?
ForMotion Clinic currently maps to Henderson, Nevada in this extract.
When was this NPI issued?
Enumeration for ForMotion Clinic is noted as February 20, 2006 where the registry provides it.

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