Active NPI
Chase Physical Therapy and Wellness, PLLC
- Orthopedic Physical Therapist
- Austin, TX
National Provider Identifier
1356982268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- Legal business name
- CHASE PHYSICAL THERAPY AND WELLNESS, PLLC
- Practice address
- 15617 Cabrillo Way
Austin, TX 78738-6187 - Phone
- (815) 409-1772
- NPI assigned
- Oct 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacob Ryan Chase, PT, DPT
- Title
- Owner/Physical Therapist
- Phone
- (815) 409-1772
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | |||
| Orthopedic Physical Therapist | 2251X0800X | Primary |
Addresses
Primary practice location
15617 Cabrillo Way
Austin, TX 78738-6187
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Other names 1
- Chase Physical Therapy & Wellness
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Troy, MI
- NPI 1497276737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717632000000",
"number": "1356982268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15617 CABRILLO WAY",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787386187",
"telephone_number": "815-409-1772"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHASE PHYSICAL THERAPY AND WELLNESS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-02",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A",
"authorized_official_last_name": "CHASE",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "RYAN",
"authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
"authorized_official_telephone_number": "815-409-1772",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PT, DPT"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Orthopedic",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Chase Physical Therapy & Wellness",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Chase Physical Therapy & Wellness",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.