Active NPI
Chase Hsing Chavez, PT, DPT
- Physical Therapist
- Evanston, IL
National Provider Identifier
1063181402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070029878
- Practice address
- 1704 Maple Ave Ste 110
Evanston, IL 60201-3134 - Phone
- (630) 933-1500
- Fax
- (224) 271-5556
- NPI assigned
- Sep 9, 2021
- Last updated
- Sep 21, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070029878 | IL | Primary |
Addresses
Primary practice location
1704 Maple Ave Ste 110
Evanston, IL 60201-3134
Mailing address
1704 Maple Ave Ste 110
Evanston, IL 60201-3134
Phone (630) 933-1500
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chase.chavez@requestphysicaltherapy.com | ||
| Direct Messaging Address | chase.chavez@requestphysicaltherapy.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1704 Maple Ave
Suite 110
Evanston, IL 60201-3134
5777 Dept
Carol Stream, IL 60122-0021
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.91 of 100
- Quality
- 61.18
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.86
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Request Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
Networks
- Freedom Health HMO Network
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- Physical Therapist
- Gainesville, FL
- NPI 1245225085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789948800000",
"number": "1063181402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1704 MAPLE AVE STE 110",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013134",
"telephone_number": "630-933-1500",
"fax_number": "224-271-5556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1704 MAPLE AVE STE 110",
"city": "EVANSTON",
"state": "IL",
"postal_code": "602013134",
"telephone_number": "630-933-1500",
"fax_number": "224-271-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAVEZ",
"first_name": "CHASE",
"middle_name": "HSING",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-09",
"last_updated": "2026-09-21",
"certification_date": "2026-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070029878",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chase.chavez@requestphysicaltherapy.com",
"affiliation": "N",
"address_1": "4820 Newberry Rd",
"city": "Gainesville",
"state": "FL",
"country_code": "US",
"postal_code": "326072249",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chase.chavez@requestphysicaltherapy.com",
"affiliation": "N",
"address_1": "4820 Newberry Rd",
"city": "Gainesville",
"state": "FL",
"country_code": "US",
"postal_code": "326072249",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; 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.