IndividualActive
Olivia Sanson, ACSM-CEP, EIM3
NPI 1417698770 · Clinical Exercise Physiologist · Russellville, AR
Provider details
- NPI number
- 1417698770
- Entity type
- Individual
- Primary specialty
- Clinical Exercise PhysiologistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ACSM-CEP, EIM3
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
83% 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
209 S Portland Ave
Russellville, AR 72801-2339
Phone: (479) 317-7010
Street-level locationGet directions
Mailing address
209 S Portland Ave
Russellville, AR 72801-2339
Registry dates
- Enumerated
- 2022-04-01
- Last updated
- 2022-04-01
- Certified
- 2022-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.