Bria Mack

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

4480 Meadows LN Unit 519a
Las Vegas, NV 89107-3128

Phone

(702) 677-9918

NPI assigned

Jul 24, 2025

Sex

Unspecified or another gender identity

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

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Renewed Path Wellness LLC.

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1437031820
  NPD Authorized official

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1790667194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10086 PACIFIC PEAK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891782901",
            "telephone_number": "702-677-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4480 MEADOWS LN UNIT 519A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073128",
            "telephone_number": "702-677-9918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "BRIA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lee Maciejko
• Elizabeth Maciel
• Allan David Macintyre, DO
• Ashlee Mack
• Ashley Michelle Mack, LMT
• Briana Mack, RBT
• Cedric L Mack
• Claudine Mack
• Dawn Mack
• Deborah Mack

• Rehabilitation Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Rehabilitation Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.