Active NPI
Perry Ford, PTA
- Physical Therapy Assistant
- Pearland, TX
National Provider Identifier
1891341749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2150710
- Practice address
- 2011 Broadway St Ste 130
Pearland, TX 77581-5945 - Phone
- (281) 997-8509
- NPI assigned
- Aug 16, 2019
- 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 |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2150710 | TX | Primary |
Addresses
Primary practice location
2011 Broadway St Ste 130
Pearland, TX 77581-5945
Mailing address
12317 Murano Dr
Texas City, TX 77568-2555
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Perryjordan3757@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2150710 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverkids Houston Therapy, LLC | Past | Accepting new patients |
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.
-
dba Riverkids Pediatric Home Health
- Home Health Agency
- Pearland, TX
- NPI 1780729731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565913600000",
"number": "1891341749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12317 MURANO DR",
"city": "TEXAS CITY",
"state": "TX",
"postal_code": "775682555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2011 BROADWAY ST STE 130",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815945",
"telephone_number": "281-997-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "PERRY",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-16",
"last_updated": "2019-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2150710",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Perryjordan3757@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2011 Broadway St Ste 130",
"city": "Pearland",
"state": "TX",
"country_code": "US",
"postal_code": "775815945",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pearland, TX
- Sophie Marie Foran, LCDC, LCSW
- Karla Ford
- Kimberly Lanette Ford
- Latanya Graylyn Ford, FNP-C
- Lenfunizie Scott Ford
- Tawny Ford, OTA
- Forefront Dermatology - Houston, PLLC (Advanced Dermatology, A Forefront Dermatology Practice)
- Forefront Dermatology, S.C. (dba Advanced Dermatology, A Forefront Dermatology Practice)
- Forgotten Angels
- Forgotten Angels Texas LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.