Active NPI
Southeastern Orthotics & Prosthetics, Inc
- Orthotist
- Cleveland, TN
National Provider Identifier
1447223557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Legal business name
- SOUTHEASTERN ORTHOTICS & PROSTHETICS, INC
- Practice address
- 220 1St St NW
Cleveland, TN 37311-5006 - Phone
- (423) 559-0500
- Fax
- (423) 559-0541
- NPI assigned
- Feb 9, 2006
- Organization subpart
- Yes
- Parent organization
- SOUTHEASTERN ORTHOTICS & PROSTHETICS
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lauren Vaughn
- Title
- VP of Operations
- Phone
- (615) 890-2160
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | Primary | ||
| Prosthetist | 224P00000X | |||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
220 1St St NW
Cleveland, TN 37311-5006
Mailing address
PO Box 305172
Nashville, TN 37230-5172
Phone (423) 559-0500
National Provider Directory
National Provider Directory- Part of
- Southeastern Orthtoics
Locations
220 1st St NW
Cleveland, TN 37311
Phone (423) 559-0500
2080 Chambliss Ave NW
Ste 5
Cleveland, TN 37311
Phone (423) 479-9581
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Prosthetic/Orthotic Supplier
- Chattanooga, TN
- NPI 1679572655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1642464000000",
"number": "1447223557",
"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": "423-559-0500",
"fax_number": "423-559-0541"
},
{
"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": "373115006",
"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": "SOUTHEASTERN ORTHOTICS & PROSTHETICS",
"enumeration_date": "2006-02-09",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "LAUREN",
"authorized_official_title_or_position": "VP OF OPERATIONS",
"authorized_official_telephone_number": "615-890-2160"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": null,
"license": null,
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, TN
- Christopher Myers Snyder, DO
- Savannah Solomon
- Solutions Physical Therapy, PLLC
- Southeast Tennessee Orthopaedics, Inc
- 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
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.