Active NPI
Rhonda Davidson Wilder, PT
- Dental Hygienist
- Tallahassee, FL
National Provider Identifier
1649349002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- DH0004393
- Practice address
- 1803 Miccosukee Commons Drive Ste 202
Tallahassee, FL 32308 - Phone
- (850) 402-0200
- Fax
- (850) 402-0564
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | DH0004393 | FL | Primary |
| Physical Therapist | 225100000X | PT19219 | FL |
Addresses
Primary practice location
1803 Miccosukee Commons Drive Ste 202
Tallahassee, FL 32308
Mailing address
6255 Hines Hill Circle
Tallahassee, FL 32312
Phone (850) 562-2139
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y063R | Other | FL | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DH0004393 | FL | MD | Dental Hygienist |
| PT19219 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Rehabilitation Specialists II Inc | Past | Accepting new patients | |
| Medical Rehabilitation Specialist III Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Injury Care Clinic of Tallahassee
- Physical Medicine & Rehabilitation Physician
- Tallahassee, FL
- NPI 1649422494
-
dba Injury Care Clinic of Tallahassee
- Physical Medicine & Rehabilitation Physician
- Talahassee, FL
- NPI 1114096575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1649349002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 HINES HILL CIRCLE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32312",
"telephone_number": "850-562-2139",
"fax_number": "850-562-2139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1803 MICCOSUKEE COMMONS DRIVE STE 202",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32308",
"telephone_number": "850-402-0200",
"fax_number": "850-402-0564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILDER",
"first_name": "RHONDA",
"middle_name": "DAVIDSON",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "FL",
"license": "DH0004393",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT19219",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y063R",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.