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

Derek S Olson, DPT

Individual provider Physical Therapist · NPI 1003497116

Derek S Olson, DPT is a Physical Therapist in Private Practice in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices with New Proactive LLC, a 53-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in California, Illinois and Oregon.

Years since qualifying
5
Licensed in
CA, IL, OR
In the registry since
2021
Specialties on file
4
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1340 E 47th St
Chicago, IL 60653-4508
Phone: (773) 496-5147
Fax: (872) 215-9417
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 300 S State St, Marengo, IL 60152-3532 — (815) 568-4550
  • 600 Central Ave Se Ste D, Albuquerque, NM 87102-4650 — (505) 242-2294
  • 1307 Ne 102nd Ave Ste T-1, Portland, OR 97220-3980 — (971) 270-0913

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 65111 (OR)
Physical Therapist Taxonomy 225100000X (IL)
Physical Therapist Taxonomy 225100000X
Physical Therapist Taxonomy 225100000X · Licence 302169 (CA)

Record details

NPI number1003497116
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 20, 2021
Last updated in NPPESMay 8, 2024
Certification dateMay 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice New Proactive Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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