Greg Dedrick, PT, SCD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1111706 Issued in TX

Practice address

7710 Hillside Rd
Amarillo, TX 79119-8366

Phone

(806) 355-7633

NPI assigned

Apr 16, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

May accept Medicare assignment

Group practices

Dumas Physical Therapy, LLCGroup PAC ID 3577615012, 8 clinicians

Practice addresses (Care Compare)

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.

• Dumas Physical Therapy, LLC

  • Physical Therapist
  • Dumas, TX
  • NPI 1235363979
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1744761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1659167609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2930 BUSHLAND RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791191163",
            "telephone_number": "405-343-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 HILLSIDE RD",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791198366",
            "telephone_number": "806-355-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEDRICK",
        "first_name": "GREG",
        "name_prefix": "Dr.",
        "credential": "PT, SCD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-04-16",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1111706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Debons Jr.
• Deborah a Stamp
• Deborah B McCollum, MD PA
• Kristin Lee Decker, CCC-SLP
• Lauren Decker
• Alice Deeds, LPC ASSOCIATE
• Julene Dorman Dees, RN
• Annette S Defever, RN
• Buddy W Deford
• Madison Del Castillo

• Physical Therapist in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.