Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Timothy Brian Soder, MSPT

Individual provider Physical Therapist · NPI 1174648935

Mr. Timothy Brian Soder, MSPT is a Physical Therapist in Private Practice in Las Vegas, Nevada. Qualified in 1992, 34 years ago. Practices with Executive Fitness Inc, a 5-clinician group and accepts Medicare assignment. Licensed in Nevada.

Years since qualifying
34
Licensed in
NV
In the registry since
2007
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Practice location Address checks out

6440 Medical Center St #100
Las Vegas, NV 89148-2404
Phone: (702) 222-1000
Fax: (702) 222-9448
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0714 (NV)

Record details

NPI number1174648935
Entity typeIndividual (Type 1)
GenderMale
Credentials MSPT
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJune 5, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Executive Fitness Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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