Organization Active NPI

Summit Wellness - Central Texas LLC

  • Massage Therapist
  • Longview, TX
National Provider Identifier
1427967058
Registry record updated Sep 1, 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
300 N Green St Ste 218
Longview, TX 75601-7335
Phone
(430) 341-3050
Fax
(430) 267-3622
NPI assigned
Sep 1, 2026
Organization subpart
Yes
Parent organization
SUMMIT WELLNESS - CENTRAL TEXAS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Authorized official

Name
Nicholas 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

300 N Green St Ste 218
Longview, TX 75601-7335

Mailing address

2329 Edenborn Ave
Metairie, LA 70001-1815
Phone (430) 341-3050

NPI Registry JSON

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

{
    "created_epoch": "1788220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788220800000",
    "number": "1427967058",
    "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": "430-341-3050",
            "fax_number": "430-267-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N GREEN ST STE 218",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756017335",
            "telephone_number": "430-341-3050",
            "fax_number": "430-267-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS - CENTRAL TEXAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT WELLNESS - CENTRAL TEXAS LLC",
        "enumeration_date": "2026-09-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A",
        "authorized_official_last_name": "GWYN",
        "authorized_official_first_name": "NICHOLAS",
        "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": []
}

Other providers in Longview, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.