Individual provider Active NPI

Hollie Marie Sellars, PHYSICAL THERAPIST

  • Specialist
  • Eureka, CA
National Provider Identifier
1730111592
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PT 25503 Issued in CA
Practice address
2306 Dean St
Eureka, CA 95501-3209
Phone
(707) 443-8354
Fax
(707) 443-8628
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PT 25503 CA Primary

Addresses

Primary practice location

2306 Dean St
Eureka, CA 95501-3209

Mailing address

2306 Dean St
Eureka, CA 95501-3209
Phone (707) 443-8354

Other identifiers 1

IdentifierTypeStateIssuer
P00133590OtherCARR MEDICARE #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080227000416 CA Practitioner - Physical Therapist in Private Practice 9335223460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
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)

2306 Dean St
Eureka, CA 95501-3209
Phone (707) 443-8354

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as group
Quality
80
Improvement activities
40
Cost
89.61

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 25503CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Eureka Physical Therapy Specialist CurrentSince Jan 1, 2008 Accepting new patients

Locations

1551 Giuntoli Ln
Ste A
Arcata, CA 95521
Phone (707) 825-7250

2306 Dean St
Eureka, CA 95501
Phone (707) 443-8354

1095 S Fortuna Blvd
#4G
Fortuna, CA 95540
Phone (707) 725-6995

Organizations & group practices 1

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1730111592",
    "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": "SELLARS",
        "first_name": "HOLLIE",
        "middle_name": "MARIE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT 25503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE #",
            "identifier": "P00133590",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2013; 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.