As a freshman, he helped lead his school to winning the Colorado 5A State Championship, coming off the bench to score 12 points in the title game.

[5] In the summer before his senior year, Perkins made a major decision to transfer from Regis Jesuit to prestigious high school basketball powerhouse, Huntington Prep in West Virginia.

He has a ton of potential at the point guard spot in that he can already shoot, he’s an excellent passer, is athletic enough and strong enough to get into the lane and make plays and finish at the rim.

In late June 2013, Perkins claimed he was being recruited the hardest by Gonzaga, UCLA, USC, Kansas, Kentucky, Syracuse, Connecticut, Baylor, and Minnesota.

He was a valuable player in practice and helped Gonzaga reach the Elite Eight for the first time since 1999, as well as a 2 seed in the NCAA Tournament and a 35–3 record (17–1 in the WCC).

In his first collegiate game, Josh Perkins scored 8 points, while adding 6 assists, 1 rebound, and 1 steal, on 2-of-3 from 3-point range and 2-of-2 free throws in a win over Sacramento State on November 14, 2014.

Perkins had to have his jaw wired shut due to the fracture and was ruled out indefinitely, with no timetable on his return.

[12] In August 2015, he was granted a medical hardship waiver, and which allowed him to have 4 years of eligibility remaining effective at the start of the 2015–16 season.

[19] Following training camp, Perkins was added to the roster of the Hornets' NBA G League affiliate, the Greensboro Swarm.

[20] On February 28, 2020, Perkins was traded to the Texas Legends alongside Tyler Nelson in exchange for Quincy Acy and a second-round pick in the 2020 G League draft.

[29] Perkins started the 2023-2024 campaign with Russian side BC Uralmash Yekaterinburg, before moving to Greece for Apollon Patras on December 29, 2023.