Jordan Olson
NPI 1962850412ActiveIndividual· Speech-Language Pathologist· Kenosha, WI
Speech-Language Pathologist with Sundance Rehabilitation LLC, practicing in Kenosha, Wisconsin. Enrolled in Medicare as practitioner - qualified speech language pathologist. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1962850412 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | May 25, 2016 |
| Last updated in NPPES | Jun 8, 2020 |
| Certified by provider | Jun 8, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 4322-154 | WI |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Wisconsin, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Jordan G. Olson · Adult Home | 1128a2 | Jul 18, 2019 | Superior, WI |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (WI) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Sundance Rehabilitation LLCHobart, WI · 23 clinicians
Other speech-language pathologists in Kenosha
- 1538712799
- 1558873240
- 1780832212
- 1831305796
- 1255988812
- 1760976450
- 1497324438
- 1255243960
- 1003194895
- 1306019625
- 1871726828
- 1104943653
All 88 speech-language pathologists in Kenosha · All speech-language pathologists in Wisconsin