Mr Timothy Brian Soder, MSPT - Medicare Physical Therapist in Las Vegas, NV

Mr Timothy Brian Soder, MSPT is a medicare enrolled "Physical Therapist" provider in Las Vegas, Nevada. He graduated from medical school in 1992 and has 32 years of diverse experience with area of expertise as Physical Therapy. He is a member of the group practice Executive Fitness Inc and his current practice location is 6440 Medical Center St, #100, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 222-1000.

Mr Timothy Brian Soder is licensed to practice in Nevada (license number 0714) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1174648935.

Contact Information

Mr Timothy Brian Soder, MSPT
6440 Medical Center St, #100,
Las Vegas, NV 89148-2404
(702) 222-1000
(702) 222-9448

Map and Direction




Healthcare Provider's Profile

Full NameMr Timothy Brian Soder
GenderMale
SpecialityPhysical Therapy
Experience32 Years
Location6440 Medical Center St, Las Vegas, Nevada
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Timothy Brian Soder graduated from medical school in 1992
  NPI Data:
  • NPI Number: 1174648935
  • Provider Enumeration Date: 03/20/2007
  • Last Update Date: 06/05/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 7517946700
  • Enrollment ID: I20060106000846

Medical Identifiers

Medical identifiers for Mr Timothy Brian Soder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174648935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 0714 (Nevada)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Executive Fitness Inc96381588846

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Timothy Brian Soder allows following entities to bill medicare on his behalf.
Provider NameExecutive Fitness Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1881710192
PECOS PAC ID: 9638158884
Enrollment ID: O20040720000501

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Timothy Brian Soder is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Timothy Brian Soder, MSPT
6440 Medical Center St, #100,
Las Vegas, NV 89148-2404

Ph: (702) 222-1000
Mr Timothy Brian Soder, MSPT
6440 Medical Center St, #100,
Las Vegas, NV 89148-2404

Ph: (702) 222-1000

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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