Wildflower Pediatric Therapy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WILDFLOWER PEDIATRIC THERAPY

Doing business as

Wildflower Pediatric Therapy

Practice address

10373 Big Tree Cir E
Jacksonville, FL 32257-6356

Phone

(904) 874-0263

NPI assigned

Apr 12, 2024

Last updated

Apr 14, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alexis Nicole Myers, DPTNPI 1114695509

Title

Physical Therapist

Phone

(904) 874-0263

Specialties & licenses 4

Addresses

Other names 1

• Wildflower Pediatric Therapy Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexis Nicole Myers, PT, DPT

  • Physical Therapist
  • Yulee, FL
  • NPI 1114695509
  NPD Authorized official
• Rachel Haisten

  • Speech-Language Pathologist
  • Yulee, FL
  • NPI 1245124254
  NPD (past)
• Geovanna Towers, MS SLP CCC

  • Speech-Language Pathologist
  • Yulee, FL
  • NPI 1710280417
  NPD (past)
• Elinor Weisfeld

  • Occupational Therapy Assistant
  • Yulee, FL
  • NPI 1205423340
  NPD (past)

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

{
    "created_epoch": "1712880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776124800000",
    "number": "1255185765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85313 HARTS RD",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973892",
            "telephone_number": "904-468-5124",
            "fax_number": "904-990-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10373 BIG TREE CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576356",
            "telephone_number": "904-874-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-12",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "904-874-0263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wildflower Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicholas Emil Wilde, MD
• Rebekah Leah Wildenberg
• Alyson Gibson Wilder, PHARMD, BCPS
• Robert Edward Wilder Jr., M.DIV., M.ED.
• Carrie Wildes
• Wildflowers & Weeds
• Wildly Authentic Counseling, LLC
• Wiles & Associates 6970 PA
• Alexandra Wiles, MS CCC-SLP
• Wiley Retirement Home (sanjuan retirement home)

• Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.