NPIMap

Organization Active NPI

Perfect Fit Foundation of SWK LLC

Doing business as Perfect Fit Therapy Clinic

  • Behavior Analyst
  • Dodge City, KS
National Provider Identifier
1295341758
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
PERFECT FIT FOUNDATION OF SWK LLC
Doing business as
Perfect Fit Therapy Clinic
Practice address
2603 Central Ave
Dodge City, KS 67801-6210
Phone
(620) 253-2920
Fax
(620) 371-6570
NPI assigned
Sep 21, 2020
Last updated
Jul 28, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
PERFECT FIT FOUNDATION OF SWK LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
Trista FergersonNPI 1952981334
Title
Director of Operations
Phone
(513) 490-3643

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU
Behavior Analyst 103K00000X NU Primary

Addresses

Primary practice location

2603 Central Ave
Dodge City, KS 67801-6210

Mailing address

PO Box 1884
Dodge City, KS 67801-1884
Phone (620) 253-2920

Other identifiers 1

IdentifierTypeStateIssuer
201329860AMedicaidKS

Other names 1

  • Perfect Fit Therapy Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address trista@perfectfit.foundation

National Provider Directory

National Provider Directory
Part of
Perfect Fit FDN of SWK LLC

Locations

2601 Central Ave
Ste 36A
Dodge City, KS 67801

2603 Central Ave
Ste 36A
Dodge City, KS 67801
Phone (513) 490-3643

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1295341758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1884",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678011884",
            "telephone_number": "620-253-2920",
            "fax_number": "620-371-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 CENTRAL AVE",
            "city": "DODGE CITY",
            "state": "KS",
            "postal_code": "678016210",
            "telephone_number": "620-253-2920",
            "fax_number": "620-371-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT FIT FOUNDATION OF SWK LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERFECT FIT FOUNDATION OF SWK LLC",
        "enumeration_date": "2020-09-21",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "FERGERSON",
        "authorized_official_first_name": "TRISTA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "513-490-3643"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201329860A",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trista@perfectfit.foundation",
            "affiliation": "N",
            "address_1": "2603 Central Ave",
            "city": "Dodge City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678016210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Perfect Fit Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Perfect Fit Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dodge City, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.