Summit Wellness - Central Texas LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SUMMIT WELLNESS - CENTRAL TEXAS LLC

Practice address

601 Quail Valley Dr Ste 126
Georgetown, TX 78626-8051

Phone

(512) 547-1220

Fax

(888) 830-8403

NPI assigned

Aug 25, 2026

Organization subpart

Yes

Parent organization

SUMMIT WELLNESS - CENTRAL TEXAS LLCAs reported in NPPES

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

Authorized official

Name

Nick Gwyn

Title

Coo

Phone

(504) 571-5355

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1787616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1053228189",
    "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",
            "telephone_number": "512-547-1220",
            "fax_number": "888-830-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 QUAIL VALLEY DR STE 126",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786268051",
            "telephone_number": "512-547-1220",
            "fax_number": "888-830-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS - CENTRAL TEXAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT WELLNESS - CENTRAL TEXAS LLC",
        "enumeration_date": "2026-08-25",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "GWYN",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "504-571-5355"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.