Individual provider Active NPI

Jordan Chase Black, DPT

  • Physical Therapist
  • Morristown, TN
National Provider Identifier
1548718760
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11101 Issued in TN
Practice address
325 W Morris Blvd Ste B
Morristown, TN 37813-2237
Phone
(423) 317-7772
Fax
(423) 317-7773
NPI assigned
Sep 16, 2016
Last updated
Jan 7, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11101 TN Primary

Addresses

Primary practice location

325 W Morris Blvd Ste B
Morristown, TN 37813-2237

Mailing address

325 W Morris Blvd
Morristown, TN 37813-2237
Phone (423) 375-8907

Other practice location 1

2041 Hamilton Pl
Johnson City, TN 37604-7920
Phone (423) 804-1020

Other practice location 2

900 W Main St
Rogersville, TN 37857-2448
Phone (423) 500-5600

Other practice location 3

113 Hedrick Dr
Newport, TN 37821-2930
Phone (423) 438-1124

Other practice location 4

410 N Broad St
New Tazewell, TN 37825-6606
Phone (423) 381-8813

Other practice location 5

263 E Broadway Blvd
Jefferson City, TN 37760-2810
Phone (865) 375-0880

Other practice location 6

2250 Broadway Dr Ste A1
Bean Station, TN 37708-2016
Phone (865) 935-8111

Other practice location 7

1009 Hampshire Dr
Maryville, TN 37801-3525
Phone (865) 518-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161031001574 TN Practitioner - Physical Therapist in Private Practice 2860770500 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11101TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Therapy Group FL LLC Physical Therapist Current Accepting new patients
Jordan C Black Physical Therapist CurrentSince Jun 28, 2017 Accepting new patients
904 Therapy LLC PastSince Apr 10, 2022 Accepting new patients

Locations

1030 Main St
Bean Station, TN 37708
Phone (865) 203-5077

2250 Broadway Dr
Ste A1
Bean Station, TN 37708
Phone (865) 935-8111

263 E Broadway Blvd
Jefferson City, TN 37760
Phone (865) 375-0880

2041 Hamilton Pl
Johnson City, TN 37604
Phone (423) 804-1020

1009 Hampshire Dr
Maryville, TN 37801
Phone (865) 518-6791

1615 E Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 258-2264

2024 E Andrew Johnson Hwy
Morristown, TN 37814
Phone (423) 317-7772

325 W Morris Blvd
Morristown, TN 37813
Phone (423) 258-2264

325 W Morris Blvd
Ste B
Morristown, TN 37813
Phone (423) 317-7772

410 N Broad St
New Tazewell, TN 37825
Phone (423) 317-7772

113 Hedrick Dr
Newport, TN 37821
Phone (423) 438-1124

900 W Main St
Rogersville, TN 37857
Phone (423) 272-8829

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767744000000",
    "number": "1548718760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W MORRIS BLVD",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132237",
            "telephone_number": "423-375-8907",
            "fax_number": "423-317-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W MORRIS BLVD STE B",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378132237",
            "telephone_number": "423-317-7772",
            "fax_number": "423-317-7773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Hamilton Pl",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376047920",
            "country_code": "US",
            "telephone_number": "423-804-1020",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 W Main St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572448",
            "country_code": "US",
            "telephone_number": "423-500-5600",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Hedrick Dr",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "TN",
            "postal_code": "378212930",
            "country_code": "US",
            "telephone_number": "423-438-1124",
            "fax_number": "423-244-0279",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 N Broad St",
            "address_purpose": "LOCATION",
            "city": "New Tazewell",
            "state": "TN",
            "postal_code": "378256606",
            "country_code": "US",
            "telephone_number": "423-381-8813",
            "fax_number": "423-254-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 E Broadway Blvd",
            "address_purpose": "LOCATION",
            "city": "Jefferson City",
            "state": "TN",
            "postal_code": "377602810",
            "country_code": "US",
            "telephone_number": "865-375-0880",
            "fax_number": "423-317-7773",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2250 Broadway Dr Ste A1",
            "address_purpose": "LOCATION",
            "city": "Bean Station",
            "state": "TN",
            "postal_code": "377082016",
            "country_code": "US",
            "telephone_number": "865-935-8111",
            "fax_number": "423-822-5767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Hampshire Dr",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "378013525",
            "country_code": "US",
            "telephone_number": "865-518-6791",
            "fax_number": "865-518-6794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JORDAN",
        "middle_name": "CHASE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-16",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "11101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.