Organization Active NPI

Muscular Therapeutics la/Ms

  • Massage Therapist
  • Biloxi, MS
National Provider Identifier
1043153158
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MUSCULAR THERAPEUTICS LA/MS
Practice address
2318 Pass Rd Ste 6
Biloxi, MS 39531-4044
Phone
(228) 203-2088
Fax
(228) 277-8070
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Nick Gwen
Title
Coo
Phone
(228) 203-2088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2318 Pass Rd Ste 6
Biloxi, MS 39531-4044

Mailing address

2329 Edenborn Ave
Metairie, LA 70001-1815

Other names 1

  • Summit Wellness of Mississippi Other name

National Provider Directory

National Provider Directory
Tax ID family
Muscular Therapeutics - Alexandria LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1043153158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 EDENBORN AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 PASS RD STE 6",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314044",
            "telephone_number": "228-203-2088",
            "fax_number": "228-277-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCULAR THERAPEUTICS LA/MS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "GWEN",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "228-203-2088"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Wellness of Mississippi",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.