Individual provider Active NPI

Eileen Elizabeth Paust, M.S., O.T.R.

  • Pediatric Occupational Therapist
  • Stuart, FL
National Provider Identifier
1053454942
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT 11463 Issued in FL
Practice address
2178 SW Mainsail Ter
Stuart, FL 34997-4846
Phone
(772) 221-7464
Fax
(772) 221-7464
NPI assigned
Feb 14, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT 11463 FL Primary

Addresses

Primary practice location

2178 SW Mainsail Ter
Stuart, FL 34997-4846

Mailing address

2178 SW Mainsail Ter
Stuart, FL 34997-4846
Phone (772) 221-7464

Other identifiers 1

IdentifierTypeStateIssuer
8917574 00MedicaidFL

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT 11463FLMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1053454942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2178 SW MAINSAIL TER",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974846",
            "telephone_number": "772-221-7464",
            "fax_number": "772-221-7464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2178 SW MAINSAIL TER",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349974846",
            "telephone_number": "772-221-7464",
            "fax_number": "772-221-7464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUST",
        "first_name": "EILEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S., O.T.R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT 11463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8917574 00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.