Southeastern Orthotics & Prosthetics, Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SOUTHEASTERN ORTHOTICS & PROSTHETICS, INC.

Practice address

220 1St St NW
Cleveland, TN 37311-1306

Phone

(423) 559-0500

Fax

(423) 559-0541

NPI assigned

May 26, 2006

Reactivated

Jun 26, 2023

Organization subpart

Yes

Parent organization

SOUTHEASTER ORTHOTICS & PROSTHETICS, INCAs reported in NPPES

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

Authorized official

Name

Mr. Aaron Sorensen, CPO, LPO

Title

President

Phone

(615) 217-9821

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Southeastern Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1679572655

  1759407414

  Same PAC ID

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

Tax ID family

Southeastern Orthtoics2 organizations share this tax ID, including this one

Part of

Southeastern Orthtoics

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southeastern Orthotics & Prosthetics, Inc

  • Prosthetic/Orthotic Supplier
  • Chattanooga, TN
  • NPI 1679572655
  NPD tax ID

Locations

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1356397459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 305172",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372305172",
            "telephone_number": "423-266-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 1ST ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373111306",
            "telephone_number": "423-559-0500",
            "fax_number": "423-559-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN ORTHOTICS & PROSTHETICS, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHEASTER ORTHOTICS & PROSTHETICS, INC",
        "enumeration_date": "2006-05-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "deactivation_date": "2023-05-31",
        "reactivation_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-217-9821",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO, LPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Solomon
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• Southeast TN Human Resource Agency
• Southeastern Orthotics & Prosthetics, Inc
• Southern Home Care Services, Inc.
• Southern Home Care Services, Inc.
• Southern Medical Clinics, LLC
• Southern Medical Hearing Centers
• Southu LLC

• Prosthetic/Orthotic Supplier in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Prosthetic/Orthotic Supplier in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.