OrganizationActive
Executive Ride Transport, Inc.
NPI 1104299619 · Non-emergency Medical Transport (VAN) · Fort Myers, FL
Provider details
- NPI number
- 1104299619
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Christina Edwrds, President(954) 226-7948
Specialties & taxonomies
Transportation Services
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12345 Crooked Creek Ln
Fort Myers, FL 33913-6726
Phone: (954) 226-7948
Fax: (954) 357-1004
Street-level locationGet directions
Mailing address
101 Ne 41st St Apt B32
Oakland Park, FL 33334-1338
Registry dates
- Enumerated
- 2015-11-05
- Last updated
- 2015-11-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.