Individual provider Active NPI

Jordan Palumbo

  • Speech-Language Pathologist
  • Franklin, TN
National Provider Identifier
1366249591
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8619 Issued in TN
Practice address
325 Seaboard LN
Franklin, TN 37067-6430
Phone
(847) 816-7200
NPI assigned
Feb 26, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8619 TN Primary

Addresses

Primary practice location

325 Seaboard LN
Franklin, TN 37067-6430

Mailing address

854 Technology Way
Libertyville, IL 60048-5350
Phone (847) 816-7200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251003000463 TN Practitioner - Qualified Speech Language Pathologist 2961908488 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices
Ellenbecker and Borsellino PLLCGroup PAC ID 3971836412, 3 clinicians

Practice addresses (Care Compare)

113 Cumberland Ave
Suite 110
Madison, TN 37115-3339
Phone (615) 596-1830

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8619TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Oct 27, 2025 Accepting new patients
Ellenbecker and Borsellino PLLC Speech-Language Pathologist CurrentSince Oct 1, 2025 Accepting new patients
Mobile Therapy Centers of Tennessee, LLC PastSince Mar 11, 2025 Accepting new patients

Locations

113 Cumberland Ave
Ste 110
Madison, TN 37115
Phone (615) 596-1830

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1366249591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 TECHNOLOGY WAY",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485350",
            "telephone_number": "847-816-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 SEABOARD LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370676430",
            "telephone_number": "847-816-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALUMBO",
        "first_name": "JORDAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "8619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.