Alexis Nicole Jenkins, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2184254 Issued in TX

Practice address

4541 N Josey LN Ste 130
Carrollton, TX 75010-4662

Phone

(469) 212-8888

NPI assigned

Aug 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Surecure LLC

  • Physical Therapy Clinic/Center
  • Carrollton, TX
  • NPI 1356840425
  NPD

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1609605013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 130",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104662",
            "telephone_number": "469-212-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4541 N JOSEY LN STE 130",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104662",
            "telephone_number": "469-212-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "ALEXIS",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2184254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Marchetti MD PA
• Saima Javed, MD
• Hunter Chase Jaynes, MS
• Jcare Home Health Agency, LLC
• Jeevan Home Health Care Inc
• Leslie D Jennings, MD
• Harper Yunyeong Jeong, BCBA
• Jerry T Holubec DO, PA
• Jin Kuk Lee DDS Inc
• Neha Asif Jiwani

• Physical Therapy Assistant in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.