Jordan C Black
NPI 1528569316ActiveOrganization· Physical Therapist· Morristown, TN
Physical Therapist in Morristown, Tennessee, registered in NPPES in February 2018. The authorized official on file is Jordan Chase Black, PT, DPT, Owner. Enrolled in Medicare as dme supplier - independently-practicing physical therapist and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1528569316 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 27, 2018 |
| Last updated in NPPES | Jan 7, 2026 |
| Certified by provider | Jan 7, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
| Clinic/Center, Physical Therapy | 261QP2000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Independently-Practicing Physical Therapist (TN); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (TN) |
|---|
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All 70 physical therapists in Morristown · All physical therapists in Tennessee