Summit Wellness of DPSW LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SUMMIT WELLNESS OF DPSW LLC

Practice address

625 W Southern Ave Ste 23
Mesa, AZ 85210-5030

Phone

(602) 513-7722

Fax

(480) 850-5860

NPI assigned

Jul 6, 2026

Organization subpart

Yes

Parent organization

SUMMIT WELLNESS OF DPSW 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

Tax ID family

Summit Wellness of DPSW LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Summit Wellness of DPSW LLC

  • Massage Therapist
  • Las Vegas, NV
  • NPI 1902722903
  NPD tax ID

Locations

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

{
    "created_epoch": "1783296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1164349544",
    "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": "625 W SOUTHERN AVE STE 23",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852105030",
            "telephone_number": "602-513-7722",
            "fax_number": "480-850-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS OF DPSW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT WELLNESS OF DPSW LLC",
        "enumeration_date": "2026-07-06",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "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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• Michael David Sumpter, PA-C
• Sun Behavior Health LLC
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• Sun Electronic Brachytherapy Inc
• Sun Life Family Health Center, Inc

• Massage Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Massage Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.