Heather Elaine Paup, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

36336 Issued in CA

Practice address

2306 Dean St
Eureka, CA 95501-3209

Phone

(707) 443-8354

Fax

(707) 443-8628

NPI assigned

Apr 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Heather Elaine Blair Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eureka Physical TherapyGroup PAC ID 2567437569, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.88 of 100Reported as group

Quality

80

Improvement activities

40

Cost

89.61

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Eureka Physical Therapy

  • Specialist
  • Eureka, CA
  • NPI 1861422818

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1376869230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2306 DEAN ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013209",
            "telephone_number": "707-443-8354",
            "fax_number": "707-443-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 DEAN ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955013209",
            "telephone_number": "707-443-8354",
            "fax_number": "707-443-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUP",
        "first_name": "HEATHER",
        "middle_name": "ELAINE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "36336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "CH2219",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "36336",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "BLAIR",
            "middle_name": "ELAINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alissa Pattison, AMFT
• Dale Lee Patton
• Randolph Samuel Patton
• Steven D Paul, M.D.
• Dakota Wilfred Paulson Andres
• Paye'S Properties LLC
• Brian Paz-Flores
• Amy Chamberlin Pearlson, RN
• Andrea Sara Pearson-Gottlieb
• Donald James Peaslee

• Physical Therapist in Eureka, CA
• Providers in Eureka, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.