Individual provider Active NPI

Maxwell Sand

  • Occupational Therapist
  • Las Vegas, NV
National Provider Identifier
1194359463
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-2450 Issued in NV
Practice address
3920 W Charleston Blvd Ste Y
Las Vegas, NV 89102-1633
Phone
(818) 894-2273
Fax
(818) 357-2505
NPI assigned
Feb 26, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-2450 NV Primary
Pediatric Occupational Therapist 225XP0200X

Addresses

Primary practice location

3920 W Charleston Blvd Ste Y
Las Vegas, NV 89102-1633

Mailing address

1428 Sycamore Spring CT
Las Vegas, NV 89128-0590

Other practice location 1

9260 W Sunset Rd Ste 204
Las Vegas, NV 89148-4903
Phone (877) 214-5160

Other practice location 2

1306 E Calvada Blvd
Pahrump, NV 89048-2797
Phone (818) 894-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250717002318 NV Practitioner - Occupational Therapist in Private Practice 9234644220 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT-2450NVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mustard Seeds Therapies LLC Occupational Therapist CurrentSince Sep 1, 2025 Accepting new patients
Slptele LLC Occupational Therapist CurrentSince Jul 2, 2025 Accepting new patients
Therapy Blocks L.L.C. Occupational Therapist PastSince Jul 2, 2025 Accepting new patients

Locations

6320 Canoga Ave
Fl 15
Woodland Hls, CA 91367
Phone (818) 588-4003

3920 W Charleston Blvd
Ste Y
Las Vegas, NV 89102
Phone (702) 992-3577

9260 W Sunset Rd
Ste 204
Las Vegas, NV 89148
Phone (702) 339-8770

601 N Pecos Rd
Las Vegas, NV 89101
Phone (702) 455-2202

3920 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 478-5541

1306 E Calvada Blvd
Pahrump, NV 89048
Phone (702) 339-8770

Organizations & group practices 3

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": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1194359463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1428 SYCAMORE SPRING CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W CHARLESTON BLVD STE Y",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021633",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9260 W Sunset Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891484903",
            "country_code": "US",
            "telephone_number": "877-214-5160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1306 E Calvada Blvd",
            "address_purpose": "LOCATION",
            "city": "Pahrump",
            "state": "NV",
            "postal_code": "890482797",
            "country_code": "US",
            "telephone_number": "818-894-2273",
            "fax_number": "818-357-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAND",
        "first_name": "MAXWELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-26",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NV",
            "license": "OT-2450",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.