Tristar Physical Therapy
LBN: Jordan C Black
Tristar Physical Therapy is an health care organization with primary practice located at 325 W Morris Blvd , Morristown TN 37813-2237. The organization recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Ambulatory Health Care Facilities / Physical Therapy. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty.
Jordan C Black can be contacted via phone (423) 317-7772, or through Black, Jordan Chase via phone (423) 317-7772.
Contact Information
Primary practice address
325 W Morris Blvd
Morristown TN 37813-2237
Phone: (423) 317-7772
Fax: (423) 317-7773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | ||
| Ambulatory Health Care Facilities / Physical Therapy | 261QP2000X |
Profile Details
| NPI number | 1528569316 |
|---|---|
| LBN Legal business name | Jordan C Black |
| DBA Doing business as | Tristar Physical Therapy |
| Authorized official | Black, Jordan Chase PT, DPT |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 27th, 2018 |
| Last updated | Dec 18th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528569316 | NPPES |
| Tennessee | MEDICAID | Q038410 |
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