Jordan C Black
NPI 1528569316 · Physical Therapist · Morristown, TN
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jordan C Black is a Physical Therapist organization in Morristown, TN (NPI 1528569316).
Provider details
- NPI number
- 1528569316
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jordan Black, Owner(423) 317-7772
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapy Clinic/Center261QP2000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tristar Physical Therapy
Additional practice locations (7)
- 2250 Broadway Dr Ste A1Bean Station, TN 37708-2016Phone: (865) 935-8111Fax: (423) 317-7773
- 263 E Broadway BlvdJefferson City, TN 37760-2810Phone: (865) 375-0880Fax: (423) 317-7773
- 2041 Hamilton PlJohnson City, TN 37604-7920Phone: (423) 804-1020Fax: (423) 317-7773
- 1009 Hampshire DrMaryville, TN 37801-3525Phone: (865) 518-6791Fax: (423) 317-7773
- 410 N Broad StNew Tazewell, TN 37825-6606Phone: (423) 317-7772Fax: (423) 317-7773
- 113 Hedrick DrNewport, TN 37821-2930Phone: (423) 438-1124Fax: (423) 317-7773
- 900 W Main StRogersville, TN 37857-2448Phone: (423) 500-5600Fax: (423) 317-7773
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2026-01-07
- Certified
- 2026-01-07
Frequently asked questions
- What is Jordan C Black's NPI number?
- Jordan C Black's National Provider Identifier (NPI) is 1528569316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jordan C Black?
- Jordan C Black is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jordan C Black located?
- Jordan C Black's practice location on file with NPPES is 325 W Morris Blvd Ste B, Morristown, TN 37813-2237.
- What is Jordan C Black's phone number?
- The practice phone number listed in the NPPES registry for Jordan C Black is (423) 317-7772.
- Does Jordan C Black accept Medicare?
- Jordan C Black is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jordan C Black?
- The authorized official listed on Jordan C Black's NPPES record is Jordan Black, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jordan C Black's NPI active?
- Yes — Jordan C Black's NPI (1528569316) is active in the NPPES registry as of the last update on 2026-01-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.