Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JORDAN BLACK, PT, DPT
ActiveJORDAN BLACK, PT, DPT is a Physical Therapy Assistant healthcare provider located in CHANUTE, Kansas. NPI 1700679578 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · CHANUTE, KS
Registration Details
- NPI Number
- 1700679578
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2025 (1.037478091235 yrs)
- Last Updated
- May 26, 2025
- License
-
T-06311 (KS)
Practice Information
- Address
-
629 S PLUMMER AVECHANUTE, KS, 667201928Browse KS providers · Browse ZIP 66720
- Phone
- 6204314000
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in CHANUTE, KS
| Name | Credential | NPI |
|---|---|---|
| MR. BRIAN JAMES DAUGHARTHY | PT | 1184617243 |
| HEATHER DAWN WALKER | RPT | 1194826065 |
| ALLISON E LEHMANN | P.T. | 1588871206 |
| MRS. STACEY KATHLEEN BAKER | PT | 1205043544 |
| MRS. JENNIFER DAWN ELLIS | MS PT | 1073721122 |
| AARON JOHN LIUDAHL | P.T. | 1417165366 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.