Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jordan Black, PT, DPT

Individual provider Physical Therapist · NPI 1700679578

Jordan Black, PT, DPT is a Physical Therapist in Chanute, Kansas. Licensed in Kansas. Registered with an NPI since 2025.

Licensed in
KS
In the registry since
2025
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

629 S Plummer Ave
Chanute, KS 66720-1928
Phone: (620) 431-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence T-06311 (KS)

Record details

NPI number1700679578
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 26, 2025
Last updated in NPPESMay 26, 2025
Certification dateMay 25, 2025

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