JORDAN C BLACK
NPI 1528569316
Physical Therapist in Morristown, TN
About Jordan C Black NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORDAN C BLACK (NPI 1528569316), doing business as Tristar Physical Therapy, is a healthcare organization registered as a physical therapist in Morristown, Tennessee and active in the NPI registry since February 2018. The organization maintains 7 additional practice locations and lists Jordan Chase Black, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Names 1
Secondary Practice Locations 7
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jordan C Black is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
34Medicare enrollment records show 34 clinicians reassign Medicare billing to Jordan C Black, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 11 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 34Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jordan C Black's NPI number?
The NPI number for Jordan C Black is 1528569316. It was assigned to this organization in the NPPES registry on February 27, 2018. The provider is doing business as Tristar Physical Therapy.
Where is Jordan C Black located?
Jordan C Black is located at 325 W Morris Blvd Ste B, Morristown, TN 37813. The listed phone number is (423) 317-7772.
What is Jordan C Black's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jordan C Black enrolled in Medicare?
Yes. Jordan C Black is registered in the Medicare PECOS enrollment system.
When is Jordan C Black's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (Tennessee, Independently-Practicing Physical Therapist) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Jordan C Black?
According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 2 Medicare specialties reassign their Medicare billing to Jordan C Black. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (21) and Occupational Therapist in Private Practice (13). Of these, 8 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Jordan C Black accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Jordan C Black as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jordan C Black was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jordan C Black · NPI 1528569316
Physical Therapist organization in Morristown, Tennessee. Organization record, active in the CMS NPPES registry since February 27, 2018.
## Identity
- **NPI:** 1528569316 (Entity type: Organization)
- **Enumerated:** February 27, 2018
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **Also known as:** Tristar Physical Therapy (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jordan Black, OWNER
## Practice location
- **Address:** 325 W MORRIS BLVD STE B, Morristown, TN 37813-2237
- **Phone:** (423) 317-7772 · **Fax:** (423) 317-7773
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (DME, Tennessee, Independently-Practicing Physical Therapist) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 34 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (21), Occupational Therapist in Private Practice (13); 8 practice at this address and 11 within 10 miles; [full list](https://npiprofile.com/npi/1528569316/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 7, 2026
- **Other identifiers:** Medicaid Q038410 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1528569316) · Data from the CMS NPPES public registry.