NPIMap

Organization Active NPI

Summit Wellness - Central Texas LLC

  • Massage Therapist
  • San Antonio, TX
National Provider Identifier
1346133253
Registry record updated Jan 13, 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
4201 Medical Dr Ste 360
San Antonio, TX 78229-5623
Phone
(726) 256-5360
Fax
(888) 830-8403
NPI assigned
May 30, 2025
Organization subpart
Yes
Parent organization
SUMMIT WELLNESS OF TEXASAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 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) 250-5283

Specialties & licenses 1

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

Addresses

Primary practice location

4201 Medical Dr Ste 360
San Antonio, TX 78229-5623

Mailing address

2329 Edenborn Ave
Metairie, LA 70001-1815
Phone (281) 815-8580

Other names 2

  • Summit Wellness - San Antonio Doing business as
  • Summit Wellness 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 of Texas

Other organizations with this tax ID 6

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

Locations

11133 Shady Trl
#470
Dallas, TX 75229
Phone (214) 807-6778

4201 Medical Dr
Ste 360
San Antonio, TX 78229
Phone (210) 866-5558

Practitioners & affiliated clinicians

Practitioners 5

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": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1346133253",
    "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": "281-815-8580",
            "fax_number": "888-830-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DR STE 360",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295623",
            "telephone_number": "726-256-5360",
            "fax_number": "888-830-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS - CENTRAL TEXAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT WELLNESS OF TEXAS",
        "enumeration_date": "2025-05-30",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "GWYN",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "504-250-5283"
    },
    "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 - San Antonio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

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