The Longevity Gym Physical Therapy & Wellness, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

THE LONGEVITY GYM PHYSICAL THERAPY & WELLNESS, LLC

Practice address

21220 Jakeshill Rd BLDG 100
Hutto, TX 78634-5599

Phone

(512) 763-7584

Fax

(512) 361-2308

NPI assigned

Sep 3, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Edwards, PTNPI 1528579729

Title

Physical Therapist

Phone

(512) 763-7584

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Emily Edwards, PT

  • Physical Therapist
  • Hutto, TX
  • NPI 1528579729
  Authorized official Same address or phone

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1396654463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8307 RACINE TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175325",
            "telephone_number": "512-763-7584",
            "fax_number": "512-361-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21220 JAKESHILL RD BLDG 100",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786345599",
            "telephone_number": "512-763-7584",
            "fax_number": "512-361-2308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LONGEVITY GYM PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "512-763-7584",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Clinic/Center in Hutto, TX
• Providers in Hutto, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.