Individual provider Active NPI

Esai Gabriel Olalde

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1871401596
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
160.020657 Issued in IL
Practice address
4022 W Newport Ave
Chicago, IL 60641-4021
Phone
(312) 685-1795
NPI assigned
Sep 1, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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 160.020657 IL Primary

Addresses

Primary practice location

4022 W Newport Ave
Chicago, IL 60641-4021

Mailing address

4901 Belmont Rd Apt 203
Downers Grove, IL 60515-3234
Phone (815) 213-5067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1871401596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 BELMONT RD APT 203",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153234",
            "telephone_number": "815-213-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 W NEWPORT AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414021",
            "telephone_number": "312-685-1795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLALDE",
        "first_name": "ESAI",
        "middle_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "160.020657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.