Organization · NPI-2

Baker O & P Enterprises, INC.

Prosthetic/Orthotic Supplier · Austin, TX

NPI number1396351573
StatusActive
Last updated in NPPESApr 29, 2026

Details

NPI
1396351573
Entity type
Organization (NPI-2)
Legal business name
Baker O & P Enterprises, INC.
Organization subpart
No
Enumeration date
Sep 22, 2020
Certification date
Apr 29, 2026
Last updated
Apr 29, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Other names

  • Formotion Clinic (Doing Business As)

Practice location

1033 La Posada Dr Ste 130
Austin, TX 78752-3824

Phone 512-505-8887

Mailing address

102 Woodmont Blvd Ste 400
Nashville, TN 37205-5217

Phone 615-864-8790

Authorized official

Bradford Gardner
Coo
6158648783

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