Active NPI
Kaleigh Iris Jenkins, PT, DPT, LAT, ATC
- Physical Therapist
- Winston Salem, NC
National Provider Identifier
1619508181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P24753
- Practice address
- 1533 S Main St
Winston Salem, NC 27127-2738 - Phone
- (336) 770-3288
- NPI assigned
- Feb 3, 2020
- Last updated
- Mar 6, 2026
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P24753 | NC | Primary |
| Athletic Trainer | 2255A2300X | LAT-5197 | NC |
Addresses
Primary practice location
1533 S Main St
Winston Salem, NC 27127-2738
Mailing address
105 Johnsbury Dr
Stanley, NC 28164-1594
Phone (704) 842-2102
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P24753 | NC | MD | Physical Therapist |
| LAT-5197 | NC | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NC School of Arts | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772755200000",
"number": "1619508181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 JOHNSBURY DR",
"city": "STANLEY",
"state": "NC",
"postal_code": "281641594",
"telephone_number": "704-842-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1533 S MAIN ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271272738",
"telephone_number": "336-770-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENKINS",
"first_name": "KALEIGH",
"middle_name": "IRIS",
"name_prefix": "Dr.",
"credential": "PT, DPT, LAT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-03",
"last_updated": "2026-03-06",
"certification_date": "2026-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P24753",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-5197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.