Derek Olson, DPT
Derek Olson, DPT is a Physical Therapist in Chicago, IL, registered under NPI 1003497116.
Getting there
The practice address on file is 1340 E 47TH ST, Chicago, IL 60653. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 302169 | CA | Physical Therapist |
| 65111 | OR | Physical Therapist primary |
Licences are recorded in 2 states: CA, OR. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Physical Therapist In Private Practice
- PAC ID
- 7911307186
Enrolled in Medicare 3 times, across 3 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Illinois | I20210609001181 | Practitioner - Physical Therapist In Private Practice |
| California | I20230629000689 | Practitioner - Physical Therapist In Private Practice |
| Oregon | I20231218001260 | Practitioner - Physical Therapist In Private Practice |
Medicare enrolment is recorded as approved under the provider type Practitioner - Physical Therapist In Private Practice. There are 3 separate enrolment records across 3 states (IL, CA, OR). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: California and Oregon. Multi-state licensure often means the provider works near a state border, covers more than one office, or delivers care by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Physical Therapist covers
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices. NUCC Health Care Provider Taxonomy, code 225100000X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 225100000X | Physical Therapist | — | IL | |
| 225100000X | Physical Therapist | — | — | |
| 225100000X | Physical Therapist | 302169 | CA | |
| 225100000X | Physical Therapist | 65111 | OR | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1003497116 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 20, 2021 |
| Last updated | May 8, 2024 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | DPT |
| Practice address |
1340 E 47TH ST Chicago, IL 60653 (773) 496-5147 Fax (872) 215-9417 |
| Mailing address |
790 REMINGTON BLVD Bolingbrook, IL 60440 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 4 | 9 | 7 | 1 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 8 | 9 | 5 | 1 | 2 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.