Individual provider Active NPI

Brian Chandler, LMT

  • Massage Therapist
  • Las Vegas, NV
National Provider Identifier
1114893104
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
NVMT.6568 Issued in NV
Practice address
6658 W Sunset Rd Ste 170
Las Vegas, NV 89118-3297
Phone
(702) 558-2151
NPI assigned
Oct 15, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NVMT.6568 NV Primary

Addresses

Primary practice location

6658 W Sunset Rd Ste 170
Las Vegas, NV 89118-3297

Mailing address

6658 W Sunset Rd Ste 170
Las Vegas, NV 89118-3297
Phone (702) 558-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NVMT.6568NVMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elevate Sports Performance and Rehab, LLC CurrentSince Oct 21, 2025 Accepting new patients

Locations

6658 W Sunset Rd
Ste 170
Las Vegas, NV 89118
Phone (702) 558-2151

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1114893104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6658 W SUNSET RD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183297",
            "telephone_number": "702-558-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6658 W SUNSET RD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891183297",
            "telephone_number": "702-558-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "BRIAN",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NV",
            "license": "NVMT.6568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.