MEDICARE: NEXTGEN THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1699624411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXTGEN THERAPY LLC

Provider Business Mailing Address
First Line	:	12313 LABRADOR BAY CT
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-1252
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12313 LABRADOR BAY CT
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78732-1252
Country	:	US
Telephone Number	:	512-917-8456
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	WESLEY GENTRY
Credential	:	LMT
Telephone Number	:	512-917-8456

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “NEXTGEN THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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