Active NPI
Aleasia Nicole Jenkins, PT, DPT
- Physical Therapist
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P14371
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7769 | SC | MD | Physical Therapist |
| 2305209169 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor of Physical Therapy | Physical Therapist | Current | 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.
-
- Physical Therapist
- Whiteville, NC
- NPI 1700347994
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.