Individual provider Active NPI

Jordan Olp, PT

  • Physical Therapist
  • Milwaukee, WI
National Provider Identifier
1194253120
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13759-24 Issued in WI
Practice address
2615 N Downer Ave
Milwaukee, WI 53211
Phone
(414) 962-4400
Fax
(414) 962-5674
NPI assigned
Jun 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 13759-24 WI Primary

Addresses

Primary practice location

2615 N Downer Ave
Milwaukee, WI 53211

Mailing address

600 Oakmont LN Ste 600C
Westmont, IL 60559-5548
Phone (630) 575-1980

Other practice location 1

3415 N 127th St
Brookfield, WI 53005-3117
Phone (262) 781-8144

Other practice location 2

3415 N 127th St
Brookfield, WI 53005-3117
Phone (262) 781-8144

Other practice location 3

25250 75th St
Salem, WI 53168-8705
Phone (262) 843-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170809003793 WI Practitioner - Physical Therapist in Private Practice 0042581043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

15175 W National Ave
New Berlin, WI 53151-5150
Phone (262) 649-2135

2615 N Downer Ave
Milwaukee, WI 53211-4245
Phone (414) 962-4400

3077 N Mayfair Rd
Suite 105
Wauwatosa, WI 53222-4305
Phone (414) 455-5797

5708 B 75TH St
Kenosha, WI 53142-3635
Phone (262) 697-9135

N88W15562 Main St
Menomonee Falls, WI 53051-3141
Phone (262) 946-2543

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Athletico LTD Physical Therapist CurrentSince Sep 1, 2018 Accepting new patients
Athletico LTD Physical Therapist Past Accepting new patients
Injury Rehabilitation Clinic II, Inc. Physical Therapist Past Accepting new patients

Locations

600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250

1020 N Wisconsin St
Ste 1
Elkhorn, WI 53121
Phone (262) 725-0237

4749 S 76th St
Greenfield, WI 53220
Phone (414) 281-1380

3701 80th St
Kenosha, WI 53142
Phone (262) 697-1730

5708 75th St
#B
Kenosha, WI 53142
Phone (262) 697-9135

3535 30th Ave
Ste 101
Kenosha, WI 53144
Phone (262) 654-0260

6926 39th Ave
Kenosha, WI 53142
Phone (262) 942-0163

902 S Wells St
Lake Geneva, WI 53147
Phone (262) 249-1915

N88W15562 Main St
Menomonee Falls, WI 53051
Phone (262) 946-2543

2615 N Downer Ave
Milwaukee, WI 53211
Phone (414) 962-4400

15175 W National Ave
New Berlin, WI 53151
Phone (262) 649-2135

25250 75th St
Salem, WI 53168
Phone (262) 843-4200

1201 Main St
Ste 788
Union Grove, WI 53182

315 N Milwaukee St
Ste 789
Waterford, WI 53185

211 E Sunset Dr
Ste 790
Waukesha, WI 53189

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1194253120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 N DOWNER AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53211",
            "telephone_number": "414-962-4400",
            "fax_number": "414-962-5674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3415 N 127th St",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530053117",
            "country_code": "US",
            "telephone_number": "262-781-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415 N 127th St",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530053117",
            "country_code": "US",
            "telephone_number": "262-781-8144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25250 75th St",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "WI",
            "postal_code": "531688705",
            "country_code": "US",
            "telephone_number": "262-843-4200",
            "fax_number": "262-843-4578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLP",
        "first_name": "JORDAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-03",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "13759-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.