| Executive Fitness Inc | |
|
6440 Medical Center St, Suite 100, Las Vegas, NV 89148-2404 | |
| (702) 222-1000 | |
| (702) 222-9448 |
| Full Name | Executive Fitness Inc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 6440 Medical Center St, Las Vegas, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881710192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 1000002-322 (Nevada) | Primary |
| Provider Name | Timothy B Soder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174648935 PECOS PAC ID: 7517946700 Enrollment ID: I20060106000846 |
| Provider Name | Calvin L Wang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457477754 PECOS PAC ID: 3577586387 Enrollment ID: I20060106000852 |
| Provider Name | Matthew H Greenberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992951610 PECOS PAC ID: 6800950924 Enrollment ID: I20090203000740 |
| Provider Name | Megan B Mckoy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871730176 PECOS PAC ID: 7012072101 Enrollment ID: I20131213000868 |
| Provider Name | Samantha Lynn Serwon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740645423 PECOS PAC ID: 8729381702 Enrollment ID: I20170717001593 |
| Provider Name | Karlo B Arciaga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013422088 PECOS PAC ID: 2264792456 Enrollment ID: I20180208000763 |
| Provider Name | Broderick A Brass |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538649025 PECOS PAC ID: 6002160405 Enrollment ID: I20181126000216 |
| Provider Name | Dylan Robert Coonradt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598258956 PECOS PAC ID: 8325384076 Enrollment ID: I20190116003752 |
| Provider Name | Jessica Marie Pfister |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386294973 PECOS PAC ID: 6002249299 Enrollment ID: I20191202000681 |
| Provider Name | Colin Kruse |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609312081 PECOS PAC ID: 1254613458 Enrollment ID: I20191230001729 |
| Provider Name | Maximilano S Javate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992343107 PECOS PAC ID: 2264868652 Enrollment ID: I20200203001810 |
| Provider Name | Brandon Richard Andrews |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639725476 PECOS PAC ID: 7315277647 Enrollment ID: I20200821002656 |
| Provider Name | Adam J Javate |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275908857 PECOS PAC ID: 3678871373 Enrollment ID: I20210113001588 |
| Provider Name | Kameron Eckard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942935192 PECOS PAC ID: 4981054897 Enrollment ID: I20231219000447 |
| Provider Name | Tristan Donnell Trumbull |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598443186 PECOS PAC ID: 8123567617 Enrollment ID: I20240828002645 |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Fitness Inc 6440 Medical Center St Ste 100, Las Vegas, NV 89148-2404 Ph: (702) 222-1000 | Executive Fitness Inc 6440 Medical Center St, Suite 100, Las Vegas, NV 89148-2404 Ph: (702) 222-1000 |
Athleticare, Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 8333 S Eastern Ave, Las Vegas, NV 89123 Phone: 702-263-3802 Fax: 702-270-7740 | |
Ceferino Villafuerte, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2029 Winter Wind St, Las Vegas, NV 89134 Phone: 702-869-6714 | |
Kelsey Zane Daniels, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6345 S Jones Blvd Ste 300, Las Vegas, NV 89118 Phone: 702-515-4009 | |
Mr. Gladstone George, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2832 S Maryland Pkwy, Las Vegas, NV 89109 Phone: 702-735-5848 Fax: 702-735-6218 | |
New Century Rehabilitation, Llc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6830 W Oquendo Rd, Suite 101, Las Vegas, NV 89118 Phone: 702-258-3066 | |
Mr. Chanha Hwang, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9408 Del Webb Blvd, Las Vegas, NV 89134 Phone: 702-268-5090 | |
Christelle Fernandez, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4765 S Durango Dr Ste 106, Las Vegas, NV 89147 Phone: 702-898-7633 |