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TIM SODER PHYSICAL THERAPY
NPI 1144552316
Specialist in Las Vegas, NV

Active since February 12, 2010
6440 MEDICAL CENTER ST STE 100, LAS VEGAS, NV 89148(702) 222-1000(702) 222-9448 Get Directions Write a Review

NPPES record last updated: February 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tim Soder Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIM SODER PHYSICAL THERAPY (NPI 1144552316) is a healthcare organization registered as a specialist in Las Vegas, Nevada and active in the NPI registry since February 2010. The organization lists Jackie Dickinson, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1144552316
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameEXECUTIVE FITNESS INC
Location Address6440 MEDICAL CENTER ST STE 100Las Vegas, NV 89148-2404
Mailing Address6440 Medical Center St Ste 100Las Vegas, NV 89148-2404 · (702) 222-1000 · Fax (702) 222-9448
Phone(702) 222-1000
Fax(702) 222-9448
Organization SubpartNo
Authorized OfficialJackie DickinsonOffice Manager · (702) 222-1000
Enumeration DateFebruary 12, 2010
✔ NPI 1144552316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NV · 2408
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6440 MEDICAL CENTER ST STE 100, Las Vegas, NV 89148
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Other Names 1

Doing Business AsTim Soder Physical Therapy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KARLO B ARCIAGA DPT
Physical Medicine & Rehabilitation
6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV 89148
Clark County (702) 222-1000
DR. TIFFANY SEWALD PT, DPT
Physical Therapist
6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV 89148
Clark County (702) 222-1000
JER JA CHUANG DPT
Physical Therapist
6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV 89148
Clark County (702) 222-1000
BRODERICK A BRASS DPT
Physical Therapist
6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV 89148
Clark County (702) 222-1000
BRANDON ANDREWS PT, DPT
Physical Therapist
6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV 89148
Clark County (702) 222-1000
MAXIMILANO S JAVATE DPT
Physical Therapist
6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV 89148
Clark County (702) 222-1000
ERIC TENG DPT
Physical Therapist
6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV 89148
Clark County (702) 222-1000
MR. MATTHEW GREENBERG DPT
Physical Therapist
6440 MEDICAL CENTER ST STE 100
LAS VEGAS, NV 89148
Clark County (702) 222-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Executive Fitness Inc's NPI number?

The NPI number for Executive Fitness Inc is 1144552316. It was assigned to this organization in the NPPES registry on February 12, 2010. The provider is doing business as Tim Soder Physical Therapy.

Where is Executive Fitness Inc located?

Executive Fitness Inc is located at 6440 Medical Center St Ste 100, Las Vegas, NV 89148. The listed phone number is (702) 222-1000.

What is Executive Fitness Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Executive Fitness Inc was last updated on February 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.