NPIMap

Organization Active NPI

Summit Wellness - Central Texas LLC

  • Massage Therapist
  • Round Rock, TX
National Provider Identifier
1235089699
Registry record updated Feb 3, 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
1000 Heritage Center Cir
Round Rock, TX 78664-4463
Phone
(512) 547-1220
Fax
(888) 830-8403
NPI assigned
Feb 3, 2026
Organization subpart
Yes
Parent organization
SUMMIT WELLNESS - CENTRAL TEXAS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 3, 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
(504) 571-5355

Specialties & licenses 1

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

Addresses

Primary practice location

1000 Heritage Center Cir
Round Rock, TX 78664-4463

Mailing address

2329 Edenborn Ave
Metairie, LA 70001-1815
Phone (504) 571-5355

Other names 1

  • Summit Wellness of Round Rock Other name

National Provider Directory

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

Other organizations with this tax ID 6

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": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1235089699",
    "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": "504-571-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HERITAGE CENTER CIR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644463",
            "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": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-01-30",
        "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": [
        {
            "organization_name": "Summit Wellness of Round Rock",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Round Rock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.