Active NPI
Hollie Marie Sellars, PHYSICAL THERAPIST
- Specialist
- Eureka, CA
National Provider Identifier
1730111592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 25503
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00133590 | Other | CA | RR MEDICARE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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 100
- Quality
- 80
- Improvement activities
- 40
- Cost
- 89.61
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 25503 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eureka Physical Therapy | Specialist | Current | 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.
-
- Specialist
- Eureka, CA
- NPI 1861422818
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.