NPIMap

Organization Active NPI

Perdue Therapy Group LLC

  • Pediatric Occupational Therapist
  • Sherman, TX
National Provider Identifier
1972133312
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
PERDUE THERAPY GROUP LLC
Practice address
2001 N Loy Lake Rd Ste J
Sherman, TX 75090-2837
Phone
(903) 487-5520
Fax
(903) 496-0004
NPI assigned
Jan 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Amanda Perdue Owen, OTR/LNPI 1467082800
Title
Manager
Phone
(903) 267-9922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

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

Mailing address

PO Box 1466
Pottsboro, TX 75076-1466

Other names 1

  • Perdue Works Therapy Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407001778 TX Part B Supplier - Clinic/Group Practice 2466881784 Receives reassigned benefits from 5 practitioners
Practice locations: Gainesville, TX; Sherman, TX

National Provider Directory

National Provider Directory

Locations

2001 N Loy Lake Rd
Ste J
Sherman, TX 75090
Phone (903) 487-5520

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1972133312",
    "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",
            "fax_number": "903-496-0004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERDUE THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "PERDUE OWEN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "903-267-9922",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perdue Works Therapy Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.