Summit Wellness - North Texas LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

SUMMIT WELLNESS - NORTH TEXAS LLC

Practice address

4516 Boat Club Rd
Fort Worth, TX 76135-7019

Phone

(214) 884-5488

Fax

(430) 267-3622

NPI assigned

Sep 16, 2026

Last updated

Sep 16, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMIT WELLNESS - NORTH TEXAS 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

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1811808967",
    "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": "4516 BOAT CLUB RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761357019",
            "telephone_number": "214-884-5488",
            "fax_number": "430-267-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT WELLNESS - NORTH TEXAS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT WELLNESS - NORTH TEXAS LLC",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "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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• Summit NP Services, LLC
• Summit Pain & Anesthesia Consultants
• William Bradley Summy, PH.D., L.P.C.
• Stephanie L Sumner, MD
• Chrissy Ann Sumpter, PA-C
• Heather M Sumpter, LCDC
• Stanley Sun

• Massage Therapist in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Massage Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.