Wildflower Physical Therapy & Wellness

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

WILDFLOWER PHYSICAL THERAPY & WELLNESS

Practice address

970 Fort Wayne Ave Ste C
Indianapolis, IN 46202-4329

Phone

(906) 282-8314

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Miranda Robles, PT, DPTNPI 1083267793

Title

Ceo

Phone

(111) 111-1111

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Miranda Robles, DPT

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1083267793
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1023834967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 GOLFVIEW DR",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498016620",
            "telephone_number": "906-282-8314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 FORT WAYNE AVE STE C",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462024329",
            "telephone_number": "906-282-8314"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "427 S Stephenson Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498013458",
            "country_code": "US",
            "telephone_number": "906-282-8314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WILDFLOWER PHYSICAL THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "ROBLES",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "111-111-1111",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Marie Wilde
• Rachel Celeste Wilden, PHARMD
• Virginia Daggett Wilder, PHD, MSN, RN
• Summer Nicole Wilderman
• Wildest Kindness
• Michael Walter Wildman, N.D
• Sarah J. Wildman, PA
• Simona L Wildman, NP
• David James Wildt, M.D.
• Crystal Wiles

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.