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

Jordan Olson

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1962850412

Jordan Olson is a Qualified Speech Language Pathologist in Kenosha, Wisconsin. Qualified in 2016, 10 years ago. Practices with Sundance Rehabilitation LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
10
Licensed in
WI
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

10108 74th St
Kenosha, WI 53142-7514
Phone: (262) 671-2557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 4322-154 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1962850412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 25, 2016
Last updated in NPPESJune 8, 2020
Certification dateJune 8, 2020
Mailing address10108 74th St, Kenosha, WI 53142-7514

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Sundance Rehabilitation Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kenosha