Active NPI
Alexis Nicole Myers, PT, DPT
- Physical Therapist
- Yulee, FL
National Provider Identifier
1114695509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37588
- Practice address
- 463155 Sr 200
Unit 12
Yulee, FL 32097 - Phone
- (904) 849-1625
- NPI assigned
- Sep 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT37588 | FL | Primary |
Addresses
Primary practice location
463155 Sr 200
Unit 12
Yulee, FL 32097
Mailing address
2171 Spanish Moss Dr
Jacksonville, FL 32246-1141
Phone (904) 874-0263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT37588 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wildflower Pediatric Therapy | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1114695509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2171 SPANISH MOSS DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322461141",
"telephone_number": "904-874-0263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463155 SR 200",
"address_2": "UNIT 12",
"city": "YULEE",
"state": "FL",
"postal_code": "32097",
"telephone_number": "904-849-1625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "ALEXIS",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT37588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yulee, FL
- Susan Vereeda Moughton, APRN
- Aimee Lyn Mozo
- Jennifer Cason Mullis
- Mohammed Abdul Muquith
- Maryruth Elizabeth Murray
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- Lindsey Neal, OTR/L
- Marco Negro, NP-C (FNP); ARNP FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.