Alexander J Grace

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A04642 Issued in KY

Practice address

203 Kentucky Ave
Kevil, KY 42053-8976

Phone

(270) 462-8252

Fax

(270) 462-8253

NPI assigned

Oct 16, 2025

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Physical Therapy

  • Physical Therapy Assistant
  • Kevil, KY
  • NPI 1215802921
  NPD Authorized official
• Premier Physical Therapy NV, LLC

  • Physical Therapist
  • Kevil, KY
  • NPI 1851619498
  NPD

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1144196049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 295",
            "city": "LA CENTER",
            "state": "KY",
            "postal_code": "420560295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 KENTUCKY AVE",
            "city": "KEVIL",
            "state": "KY",
            "postal_code": "420538976",
            "telephone_number": "270-462-8252",
            "fax_number": "270-462-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACE",
        "first_name": "ALEXANDER",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-16",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "KY",
            "license": "A04642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Charles Baldwin, PT
• Kelsie Blanks, PTA
• Christina Mae Combs, RN
• Nikki Renee Cunningham, RDN, LD
• Jack Chaim Lasoski, PA-C
• Gerren Keith Lawson
• Lifeline Recovery Center, Inc.
• Meddings Mobile Radiographs
• Premier Physical Therapy

• Physical Therapy Assistant in Kevil, KY
• Providers in Kevil, KY by specialty
• Physical Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.