Doctor of Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

DOCTOR OF PHYSICAL THERAPY

Practice address

34 Hill PLZ
Whiteville, NC 28472-4950

Phone

(910) 914-6161

Fax

(910) 685-7759

NPI assigned

Mar 29, 2019

Organization subpart

No

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

Authorized official

Name

Aleasia Nicole Jenkins, PT, DPTNPI 1235510066

Title

Owner

Phone

(910) 914-6161

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aleasia Nicole Jenkins, PT, DPT

  • Physical Therapist
  • Whiteville, NC
  • NPI 1235510066
  Medicare reassignment NPD Authorized official
• Karlie Underwood, PTA

  • Physical Therapy Assistant
  • Whiteville, NC
  • NPI 1093525834
  NPD

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707264000000",
    "number": "1700347994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 OTTO NANCE RD",
            "city": "CERRO GORDO",
            "state": "NC",
            "postal_code": "284300242"
        },
        {
            "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": [],
    "basic": {
        "organization_name": "DOCTOR OF PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-29",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ALEASIA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-914-6161",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Zaki Dimitrious, M.D.
• James Dimuzio Jr., DO
• Divine Living Home Care Agency
• Divine Living Home Care Agency,Inc.
• Burt William Dobson, MD
• Kayla Dorsett, PHARMD
• Jennifer Dove, NP
• Katherine Nicole Dowless, FNP-C
• Darrell James Draughon, RADIOLOGIC TECHNOLOG
• Latoya Drayton

• Physical Therapist in Whiteville, NC
• Providers in Whiteville, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.