Active NPI
Pursuit of Hope Otp Group
- Clinic/Center
- Pearland, TX
National Provider Identifier
1114457371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- PURSUIT OF HOPE OTP GROUP
- Practice address
- 2620 Cullen Pkwy Ste 216
Pearland, TX 77581-9008 - Phone
- (832) 780-3960
- NPI assigned
- Jun 19, 2017
- Last updated
- Mar 2, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Fenorris Pearson
- Title
- Authorized Official
- Phone
- (979) 849-1747
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | NU | ||
| Clinic/Center | 261Q00000X | NU | Primary | |
| Methadone Clinic | 261QM2800X | NU |
Addresses
Primary practice location
2620 Cullen Pkwy Ste 216
Pearland, TX 77581-9008
Mailing address
2620 Cullen Pkwy Ste 216
Pearland, TX 77581-9008
Phone (832) 780-3960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432155601 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Tomball, TX
- NPI 1982632709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646179200000",
"number": "1114457371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 CULLEN PKWY STE 216",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775819008",
"telephone_number": "832-780-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 CULLEN PKWY STE 216",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775819008",
"telephone_number": "832-780-3960"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PURSUIT OF HOPE OTP GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-19",
"last_updated": "2022-03-02",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "PEARSON",
"authorized_official_first_name": "FENORRIS",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "979-849-1747"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "432155601",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.