Amanda Perdue Owen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

113424 Issued in TX

Practice address

2001 N Loy Lake Rd Ste J
Sherman, TX 75090-2837

Phone

(903) 487-5520

NPI assigned

Jan 24, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Perdue Therapy Group LLC

  • Pediatric Occupational Therapist
  • Sherman, TX
  • NPI 1972133312

  Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1467082800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1466",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "750761466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 N LOY LAKE RD STE J",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750902837",
            "telephone_number": "903-487-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE OWEN",
        "first_name": "AMANDA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "113424",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "113424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Dentistry of Sherman, PA
• Sitien Cu Pedigo
• Mariko Pellum, PTA
• Linda Margaret Pena, LVN
• Peppermint Dental-Sherman PLLC
• Perdue Therapy Group LLC
• Ayodya Rukshani Perera, MD
• Nathaniel Josiah Perez, DO
• Performance Plus
• Craig Wallace Perkins

• Occupational Therapist in Sherman, TX
• Providers in Sherman, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.