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

Matthew Elisha Black

Individual provider Physical Therapist · NPI 1578257036

Matthew Elisha Black is a Physical Therapist in Lebanon, Tennessee. Licensed in Tennessee. Registered with an NPI since 2023.

Licensed in
TN
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

260 Manchester Blvd
Lebanon, TN 37090-6508
Phone: (931) 224-9862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 14970 (TN)
Physical Therapist Taxonomy 225100000X · Licence 14970 (TN)

Record details

NPI number1578257036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 7, 2023
Last updated in NPPESJanuary 13, 2024
Certification dateJanuary 13, 2024
Mailing address260 Manchester Blvd, Lebanon, TN 37090-6508

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