Wildflower Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

WILDFLOWER PEDIATRIC THERAPY, LLC

Practice address

203 Blair Cir
Pea Ridge, AR 72751-3182

Phone

(662) 322-3187

Fax

(662) 322-3187

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 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

Kacie White, OTR/LNPI 1770040446

Title

Owner/ Occupational Therapist

Phone

(662) 322-3187

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kacie B White, OTR/L

  • Pediatric Occupational Therapist
  • Pea Ridge, AR
  • NPI 1770040446

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774828800000",
    "number": "1811837073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BLAIR CIR",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727513182",
            "telephone_number": "662-322-3187",
            "fax_number": "662-322-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 BLAIR CIR",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727513182",
            "telephone_number": "662-322-3187",
            "fax_number": "662-322-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "KACIE",
        "authorized_official_title_or_position": "OWNER/ OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "662-322-3187",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Lee Vines
• Kathleen Marie Wagner, COTA
• Walmart Inc. (Walmart Pharmacy 10-6971)
• Kacie B White, OTR/L
• Tyler D White, LPC
• Shelia Diana Wilkerson, MS,PT
• Wesley D Wilkerson, PTA, OTR/L
• Cole Wright, PT, DPT

• Pediatric Occupational Therapist in Pea Ridge, AR
• Providers in Pea Ridge, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.