John Steven Donohue

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6761 Issued in NV

Practice address

6440 Medical Center St
Las Vegas, NV 89148-2443

Phone

(702) 222-1000

NPI assigned

Jun 13, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

University of Nevada, Las Vegas School of Medicine, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Executive Fitness IncGroup PAC ID 9638158884, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Executive Fitness Inc

  dba Timothy B Soder Physical Therapy

  • Physical Therapist
  • Las Vegas, NV
  • NPI 1881710192
  Care Compare group NPD
• Executive Fitness Inc

  dba Tim Soder Physical Therapy

  • Specialist
  • Las Vegas, NV
  • NPI 1144552316
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749772800000",
    "number": "1851287171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 MEDICAL CENTER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482443",
            "telephone_number": "702-222-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 MEDICAL CENTER ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891482443",
            "telephone_number": "702-222-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOHUE",
        "first_name": "JOHN",
        "middle_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-13",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "6761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NA Taja Donnell
• Kimberly Donnelly-Boaz
• Rihanna Constance Donner
• Bradley Christopher Donohue
• Jana Donohue
• Maria Manuela Donoso
• Diane Donovan-Vaughn, MFT LADC
• Breanna Donovan
• Cathy Donovan, LCSW
• Sabrina Marie Donovan, FNP

• Physical Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Physical Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.