DEREK S OLSON (DPT) – Physical Therapist, NPI 1003497116
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,028 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IL
Provider Addresses for DEREK S OLSON (DPT)
790 REMINGTON BLVD
BOLINGBROOK, IL 604404909
Phone:
Type: Mailing
1340 E 47TH ST
CHICAGO, IL 606534508
Phone: (773) 496-5147
Fax: (872) 215-9417
Type: Location
600 Central Ave SE Ste D
Albuquerque, NM 871024650
Phone: (505) 242-2294
Fax: (505) 242-2917
Type: Location
1307 NE 102nd Ave Ste T-1
Portland, OR 972203980
Phone: (971) 270-0913
Fax: (971) 270-0914
Type: Location
300 S State St
Marengo, IL 601523532
Phone: (815) 568-4550
Fax: (815) 568-5071
Type: Location
2122 YORK RD STE 300
OAK BROOK, IL 605231925
Phone: (630) 575-1980
Fax: (630) 928-5080
Type: Mailing
300 S STATE ST
MARENGO, IL 601523532
Phone: (815) 568-4550
Fax: (815) 568-5071
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210609001181 | I | Physical Therapist In Private Practice | IL | TBD |
| I20230629000689 | I | Physical Therapist In Private Practice | CA | TBD |
| I20231218001260 | I | Physical Therapist In Private Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 267 | 64 | $0 |
| 97530 | Therapy procedure using functional activities | 262 | 31 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 240 | 65 | $0 |
| 97140 | Therapy procedure using manual technique, each 15 minutes | 152 | 41 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 60440)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | CA | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | KY | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | KY | |
| - | MT | |
| Physical Therapist In Private Practice | AZ |
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