NPIMap

Organization Active NPI

Summit Wellness - Central Texas LLC

  • Massage Therapist
  • Austin, TX
National Provider Identifier
1083501324
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SUMMIT WELLNESS - CENTRAL TEXAS LLC
Practice address
1524 S Interstate 35 Ste 235
Austin, TX 78704-2600
Phone
(512) 547-1220
Fax
(888) 830-8403
NPI assigned
Jun 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Nick Gwyn
Title
Coo
Phone
(210) 866-5558

Specialties & licenses 1

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

Addresses

Primary practice location

1524 S Interstate 35 Ste 235
Austin, TX 78704-2600

Mailing address

2329 Edenborn Ave
Metairie, LA 70001-1815
Phone (512) 547-1220

Other practice location 1

4201 Medical Dr Ste 360
San Antonio, TX 78229-5623
Phone (726) 256-5360

Other names 1

  • Summit Wellness - Austin Other name

National Provider Directory

National Provider Directory
Tax ID family
Summit Wellness - Central Texas LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1083501324",
    "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": "1524 S INTERSTATE 35 STE 235",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042600",
            "telephone_number": "512-547-1220",
            "fax_number": "888-830-8403"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Medical Dr Ste 360",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782295623",
            "country_code": "US",
            "telephone_number": "726-256-5360",
            "fax_number": "888-830-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT WELLNESS - CENTRAL TEXAS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "GWYN",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "210-866-5558"
    },
    "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 - Austin",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.