Individual provider Active NPI

Aleasia Nicole Jenkins, PT, DPT

  • Physical Therapist
  • Whiteville, NC
National Provider Identifier
1235510066
Registry record updated Oct 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P14371 Issued in NC
Practice address
34 Hill PLZ
Whiteville, NC 28472-4950
Phone
(910) 914-6161
Fax
(910) 685-7759
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 7769 SC
Physical Therapist 225100000X 2305209169 VA
Physical Therapist 225100000X P14371 NC Primary

Addresses

Primary practice location

34 Hill PLZ
Whiteville, NC 28472-4950

Mailing address

PO Box 242
Cerro Gordo, NC 28430-0242
Phone (910) 914-6161

Other practice location 1

3620 Stevens st
29569, SC 29569
Phone (910) 640-8281

Other practice location 2

200 Flowers Pridgen Rd
Whiteville, NC 28472-9110
Phone (910) 640-2181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190718000337 NC Practitioner - Physical Therapist in Private Practice 8729313341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

612 Jefferson St
Suite 28
Whiteville, NC 28472-3708
Phone (910) 914-6161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7769SCMDPhysical Therapist
2305209169VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor of Physical Therapy Physical Therapist CurrentSince Apr 22, 2019 Accepting new patients

Locations

34 Hill Plz
Whiteville, NC 28472
Phone (910) 641-3733

612 Jefferson St
Ste 28
Whiteville, NC 28472
Phone (910) 914-6161

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": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666483200000",
    "number": "1235510066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 242",
            "city": "CERRO GORDO",
            "state": "NC",
            "postal_code": "284300242",
            "telephone_number": "910-914-6161",
            "fax_number": "910-685-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 HILL PLZ",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284724950",
            "telephone_number": "910-914-6161",
            "fax_number": "910-685-7759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3620 Stevens st",
            "address_purpose": "LOCATION",
            "city": "29569",
            "state": "SC",
            "postal_code": "29569",
            "country_code": "US",
            "telephone_number": "910-640-8281",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Flowers Pridgen Rd",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284729110",
            "country_code": "US",
            "telephone_number": "910-640-2181",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ALEASIA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2022-10-23",
        "certification_date": "2022-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "7769",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305209169",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P14371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.