SOUTHEASTERN ORTHOTICS & PROSTHETICS, INC
NPI 1447223557
Orthotist in Cleveland, TN

Active since February 09, 2006
220 1ST ST NW, CLEVELAND, TN 37311(423) 559-0500(423) 559-0541 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 18, 2022, Jan 11, 2021 (2 updates tracked since 2021).

  • Organization
  • Orthotist
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About SOUTHEASTERN ORTHOTICS & PROSTHETICS, INC

This page provides the complete NPI Profile along with additional information for Southeastern Orthotics & Prosthetics, Inc, a provider established in Cleveland, Tennessee operating as a Orthotist. The healthcare provider is registered in the NPI registry with number 1447223557 assigned on February 2006. The practitioner's primary taxonomy code is 222Z00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Southeastern Orthotics & Prosthetics, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lauren Vaughn (Vp Of Operations)

NPI
1447223557 Verify this NPI
Provider Name
SOUTHEASTERN ORTHOTICS & PROSTHETICS, INC
Entity Type
Organization
Location Address
220 1ST ST NW CLEVELAND, TN 37311
Location Phone
(423) 559-0500
Location Fax
(423) 559-0541
Mailing Address
PO BOX 305172 NASHVILLE, TN 37230
Mailing Phone
(423) 559-0500
Mailing Fax
(423) 559-0541
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-09-2006
Last Update Date
01-18-2022
Code Navigator



Southeastern Orthotics & Prosthetics, Inc is a medicare supplier with PTAN 23282365 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Lymphedema Compression Treatment Items.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Orthotist

Taxonomy Code
222Z00000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Prosthetist

 
2335E00000XSuppliers

Prosthetic/Orthotic Supplier

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LAUREN VAUGHN

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(615) 890-2160

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
23282365
Accepts Medicare Assignment
NO
Specialities List
MSC With Orthotic-Prosthetic, Orthotic Personnel, Prosthetic Personnel.
Provider Type List
CERTIFIED ORTH/PROS/PEDORTHIST.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Lymphedema Compression Treatment Items -

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447223557, enumerated as an "organization" on February 09, 2006.

The provider is located at 220 1ST ST NW CLEVELAND, TN 37311 and the phone number is (423) 559-0500.

Orthotist with taxonomy code 222Z00000X.