OrganizationActive
Executive Fitness Inc
NPI 1144552316 · Specialist · Las Vegas, NV
Executive Fitness Inc is a Specialist organization in Las Vegas, NV (NPI 1144552316).
Provider details
- NPI number
- 1144552316
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Jackie Dickinson, Office Manager(702) 222-1000
- License
- 2408 (NV)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
6440 Medical Center St Ste 100
Las Vegas, NV 89148-2404
Phone: (702) 222-1000
Fax: (702) 222-9448
Street-level locationGet directions
Mailing address
6440 Medical Center St Ste 100
Las Vegas, NV 89148-2404
Other names (DBA / former)
- Doing business as
- Tim Soder Physical Therapy
Registry dates
- Enumerated
- 2010-02-12
- Last updated
- 2010-02-12
Frequently asked questions
- What is Executive Fitness Inc's NPI number?
- Executive Fitness Inc's National Provider Identifier (NPI) is 1144552316, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Executive Fitness Inc?
- Executive Fitness Inc is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Executive Fitness Inc located?
- Executive Fitness Inc's practice location on file with NPPES is 6440 Medical Center St Ste 100, Las Vegas, NV 89148-2404.
- What is Executive Fitness Inc's phone number?
- The practice phone number listed in the NPPES registry for Executive Fitness Inc is (702) 222-1000.
- Who is the authorized official for Executive Fitness Inc?
- The authorized official listed on Executive Fitness Inc's NPPES record is Jackie Dickinson, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Executive Fitness Inc's NPI active?
- Yes — Executive Fitness Inc's NPI (1144552316) is active in the NPPES registry as of the last update on 2010-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.