Individual provider Active NPI

Jacob Ryan Chase, DPT

  • Physical Therapist
  • Troy, MI
National Provider Identifier
1497276737
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1290979 Issued in TX
Practice address
801 W Big Beaver Rd Ste 300
Troy, MI 48084-4725
Phone
(815) 409-1772
NPI assigned
Jun 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1290979 TX Primary
Physical Therapist 225100000X 5501303407 MI
Physical Therapist 225100000X 052512 NY
Physical Therapist 225100000X PT032657 PA
Physical Therapist 225100000X CP033169T IA
Physical Therapist 225100000X CP033184T WI

Addresses

Primary practice location

801 W Big Beaver Rd Ste 300
Troy, MI 48084-4725

Mailing address

15617 Cabrillo Way
Bee Cave, TX 78738-6187
Phone (815) 409-1772

Other names 1

  • Jake Chase Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI, PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240729004152 MI Practitioner - Physical Therapist in Private Practice 3173893328 Reassigns benefits to 2 organizations
I20250929002329 WI Practitioner - Physical Therapist in Private Practice 3173893328 Reassigns benefits to 1 organization
I20260622002480 PA Practitioner - Physical Therapist in Private Practice 3173893328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

801 W Big Beaver Rd
Suite 300
Troy, MI 48084-4725

Merit-based Incentive Payment System (MIPS)

Final score
85.56 of 100Reported as group
Quality
89.48
Improvement activities
40
Cost
71.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP033169TIAMDPhysical Therapist
052512NYMDPhysical Therapist
PT032657PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Chase Physical Therapy and Wellness, PLLC CurrentSince Aug 11, 2024 Accepting new patients
Protera Health Medical Group, P.C. Physical Therapist CurrentSince Jun 28, 2024 Accepting new patients
Texas Physical Therapy Specialists, Inc. Physical Therapist CurrentSince Feb 2, 2022 Accepting new patients
Texas Physical Therapy Specialists CurrentSince Feb 2, 2022 Accepting new patients
Protera Health Medical of Michigan PC Physical Therapist CurrentSince Apr 5, 2025 Accepting new patients
Ideal Physical Therapy of Texas LLC Physical Therapist CurrentSince Feb 27, 2023 Accepting new patients
Ideal Physical Therapy of Texas LLC CurrentSince Feb 27, 2023 Accepting new patients
Fox Rehabilitation Services TX LLC Physical Therapist CurrentSince Dec 1, 2021 Accepting new patients

Locations

43313 Woodward Ave
Bloomfield Township, MI 48302
Phone (248) 242-7960

801 W Big Beaver Rd
Ste 300
Troy, MI 48084
Phone (248) 658-8424

17051 Dallas Pkwy
Ste 450
Addison, TX 75001
Phone (214) 272-8561

4101 W Arkansas Ln
Arlington, TX 76016
Phone (817) 469-7671

11150 Research Blvd
Ste 212
Austin, TX 78759
Phone (512) 794-8863

15801 W Highway 71
Ste 500
Bee Cave, TX 78738
Phone (512) 954-9341

4100 Fairway Dr
Ste 400
Carrollton, TX 75010
Phone (972) 394-3325

13001 Hillcrest Rd
Dallas, TX 75240
Phone (972) 385-5267

2600 W 7th St
Ste 137
Fort Worth, TX 76107
Phone (682) 233-6462

1789 S Bagdad Rd
Ste 102
Leander, TX 78641
Phone (512) 337-8970

7505 N Loop 1604 E
Ste 101
Live Oak, TX 78233
Phone (210) 590-4000

1324 E Common St
Ste 307
New Braunfels, TX 78130
Phone (830) 625-7310

15803 Windermere Dr
Ste 204
Pflugerville, TX 78660
Phone (512) 647-1720

6327 Cypresswood Dr
Spring, TX 77379
Phone (281) 374-1750

5400 Brodie Ln
Ste 295
Sunset Valley, TX 78745
Phone (512) 676-3949

285 S Moorland Rd
Brookfield, WI 53005
Phone (810) 331-0939

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723248000000",
    "number": "1497276737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15617 CABRILLO WAY",
            "city": "BEE CAVE",
            "state": "TX",
            "postal_code": "787386187",
            "telephone_number": "815-409-1772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BIG BEAVER RD STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844725",
            "telephone_number": "815-409-1772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHASE",
        "first_name": "JACOB",
        "middle_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-27",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1290979",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501303407",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "052512",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT032657",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "CP033169T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "CP033184T",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAKE",
            "last_name": "CHASE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.

Verify at the official NPI Registry.