Individual provider Active NPI

Grace Ann Kegley, PTA

  • Physical Therapy Assistant
  • Charlotte, NC
National Provider Identifier
1194645895
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A8899 Issued in NC
Practice address
8132 High Oaks LN
Charlotte, NC 28277-1620
Phone
(704) 804-8482
NPI assigned
Jul 21, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X A8899 NC Primary

Addresses

Primary practice location

8132 High Oaks LN
Charlotte, NC 28277-1620

Mailing address

8132 High Oaks LN
Charlotte, NC 28277-1620
Phone (704) 804-8482

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

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1194645895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8132 HIGH OAKS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771620",
            "telephone_number": "704-804-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8132 HIGH OAKS LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282771620",
            "telephone_number": "704-804-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEGLEY",
        "first_name": "GRACE",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "A8899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.