OrganizationActive
East Tennessee Children'S Hospital Association Inc.
NPI 1629161880 · Pediatric Rehabilitation Medicine Physician · Knoxville, TN
Provider details
- NPI number
- 1629161880
- Entity type
- Organization
- Primary specialty
- Pediatric Rehabilitation Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- East Tennessee Children'S Hospital Association Inc.
- Organization subpart
- Yes
- Authorized official
- Andrew Rosendahl, Chief Financial Officer(865) 541-8154
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Rehabilitation Clinic/Center261QR0400X
Ambulatory Health Care Facilities
Practice location
2100 Clinch Avenue Suite 210
Knoxville, TN 37916
Phone: (865) 523-5437
Fax: (865) 541-8675
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 15004
Knoxville, TN 37901-5004
Other names (DBA / former)
- Doing business as
- East Tennessee Children'S Hospital Physiatry
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2025-12-30
- Certified
- 2025-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.