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Kyle Andre St. Peter , LAT, ATC

Specialist/Technologist - Athletic Trainer β€’ Fairfax, VA

Active NPI 1497122881 Individual Practitioner Male Practitioner
Practice location in NPPES

4400 University Dr, Ms 3a5
Fairfax, VA 22030

Call 7039933280 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4400 University Dr, Ms 3a5

Fairfax, VA 22030

Telephone 7039933280

NPI first issued

2015

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Fairfax and Virginia

64 active clinicians are listed under Specialist/Technologist - Athletic Trainer with a practice address in Fairfax, VA (1,450 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Fairfax

0% of these 64 clinicians have the CMS telehealth indicator.

0% of these 64 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-12-15
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES VA 0126003666

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Specialist/Technologist - Athletic Trainer

NUCC Taxonomy Code: 2255A2300X

License # reported to NPPES MI 2601001718

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Emergency Medical Technician, Basic

NUCC Taxonomy Code: 146N00000X

License # reported to NPPES MI 3203056420

A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Virginia Department of Health Professions.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location December 15, 2025

Registered at 4400 UNIVERSITY DR, MS 3A5, FAIRFAX, VA 22030 (Tel: 7039933280)

πŸ“
Updated Business Mailing Address December 15, 2025

Registered at 11318 WESTBROOK MILL LN UNIT 103, FAIRFAX, VA 220305665

πŸ‘€
Provider Name / Credentials Updated December 15, 2025

Recorded as KYLE ST. PETER, LAT, ATC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2025

Specialist/Technologist (license number reported to NPPES: MI 2601001718)

βœ…
NPI Profile Active January 09, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 09, 2017

Registered at 41641 UTICA RD, STERLING HEIGHTS, MI 483133264 (Tel: 5867477859)

πŸ“
Business Mailing Address (Initial Record) January 09, 2017

Registered at 41641 UTICA RD, STERLING HEIGHTS, MI 483133264 (Tel: 5867477859)

πŸ‘€
Provider Name / Credentials (Initial Record) January 09, 2017

Recorded as KYLE ST. PETER, AT, ATC, EMT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2017

Emergency Medical Technician, Basic (license number reported to NPPES: MI 3203056420)

🟒
Initial NPI Registration & Enumeration September 01, 2015

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497122881
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 01, 2015
Last Update: December 15, 2025
Sole Proprietor: No

Mailing Address

11318 Westbrook Mill Ln Unit 103

Fairfax, VA 220305665

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.