Organization Active NPI

Family Prosthetic & Medical Supply LLC

  • Prosthetist
  • Anniston, AL
National Provider Identifier
1265153670
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
Legal business name
FAMILY PROSTHETIC & MEDICAL SUPPLY LLC
Practice address
2107 US Highway 78 E Ste 6
Anniston, AL 36207-8365
Phone
(256) 403-6344
Fax
(256) 403-2459
NPI assigned
Sep 6, 2022
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aaron J Sorensen, CPO, LPO, MBA
Title
Ceo
Phone
(615) 542-0897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ProsthetistGroup: 193400000X SINGLE SPECIALTY GROUP 224P00000X Primary

Addresses

Primary practice location

2107 US Highway 78 E Ste 6
Anniston, AL 36207-8365

Mailing address

1024 N Highland Ave
Murfreesboro, TN 37130-2443
Phone (256) 403-6344

Other identifiers 1

IdentifierTypeStateIssuer
305077MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221122001929 AL DME Supplier - Certified Orth/Pros/PedorthistDME Supplier - Orthotic Personnel 1254709207 Practice locations: Anniston, AL

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
Family Prosthetic & Medical Supply2107 US Highway 78 E, Anniston, AL 36207-8365(256) 403-6344 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom Accepts assignmentParticipating since Sep 2, 2022

National Provider Directory

National Provider Directory

Locations

111 Big Valley Dr
Ste Ab
Alexandria, AL 36250
Phone (256) 403-6344

2107 US Highway 78 E
Ste 6
Anniston, AL 36207
Phone (256) 403-6344

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1265153670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N HIGHLAND AVE",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302443",
            "telephone_number": "256-403-6344",
            "fax_number": "256-403-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 US HIGHWAY 78 E STE 6",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362078365",
            "telephone_number": "256-403-6344",
            "fax_number": "256-403-2459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PROSTHETIC & MEDICAL SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-06",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-542-0897",
        "authorized_official_credential": "CPO, LPO, MBA"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Prosthetist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305077",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.