Apple Healthcare Group, PC
Organization Active NPI Physical Medicine & Rehabilitation Physician · Knoxville, TN
NPI 1396939799 · NPPES record last updated Jun 13, 2018
Key facts
- NPI
- 1396939799
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- Legal business name
- APPLE HEALTHCARE GROUP, PC
- Practice address
- 4307 Ball Camp Pike
Knoxville, TN 37921 - Phone
- (865) 524-1234
- Fax
- (865) 524-2169
- NPI assigned
- Aug 29, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Carl Christopher Hosenfeld, DC
- Title
- President
- Phone
- (865) 524-1234
Practitioners 18
-
Jessica Golden Cantwell, FNP-BC, APRN
-
Bradley P Gipson, DPM
-
Bailey Miles Holder, FNP-BC
-
Jamie C Ligon, DPT
-
Jay C Willard Jr., PT, DPT
-
Matej Bosnjak, FNP-BC
-
Rachel M Hodges, NP
-
Thomas Rogers, MD
-
Julie Alison Stafford, PA-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D1073019 | Apple Healthcare Group | Certificate of waiver | Aug 28, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080207000037 | TN | Part B Supplier - Clinic/Group Practice | 6103907605 |
Receives reassigned benefits from 18 practitioners Practice locations: Knoxville, TN |
National Provider Directory
Locations
312 Prosperity Dr
Knoxville, TN 37923
Phone (865) 691-3155
4307 Ball Camp Pike
Knoxville, TN 37921
Phone (865) 524-1234
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician |
208100000X | Yes |
Addresses
Primary practice location
4307 Ball Camp Pike
Knoxville, TN 37921
Mailing address
4307 Ball Camp Pike
Knoxville, TN 37921-3313
Phone (865) 524-1234
Other providers in Knoxville, TN
- Appa LLC
- Appalachian Audiology, PLLC
- Appalachian Orthotic & Prosthetic Service Inc
- Shanthi Appelo
- Apple Healthcare Group
- Marc G Apple
- Maria Christina Appleberry
- Jacob Applegate
- Edith Fowler Appleton
- Appliance Place LLC
All providers in Knoxville, TN · Physical Medicine & Rehabilitation Physician in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 13, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.