Organization Active NPI

Pursuit of Hope Otp Group

  • Clinic/Center
  • Pearland, TX
National Provider Identifier
1114457371
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
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, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
432155601MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190116001946 TX Part B Supplier - Clinic/Group Practice 5597001206 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.