Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497122881 Individual Practitioner Male Practitioner

Kyle Andre St. Peter , LAT, ATC

Specialist/Technologist - Athletic Trainer • Fairfax, VA

Professional Overview & Biography Verified Profile Summary

Kyle St. Peter, LAT, ATC is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Fairfax, VA. Practice services are available at 4400 UNIVERSITY DR, MS 3A5 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4400 University Dr, Ms 3a5

Fairfax, VA 22030

Telephone 7039933280

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Fairfax, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
64 Specialists

Practicing in Fairfax, VA (1463 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-15
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License 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

State License 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

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Linda Pullen , ATC

Specialist/Technologist - Athletic Trainer

NPI 1083068399

Certified Athletic Trainer

Ray Yamrus , MS, VATL, ATC

Specialist/Technologist - Athletic Trainer

NPI 1215205950

Master of Science, VATL, Certified Athletic Trainer

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location December 15, 2025

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

📍
Updated Business Mailing Address December 15, 2025

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

👤
Provider Name / Credentials Updated December 15, 2025

Recorded as KYLE ST. PETER, LAT, ATC

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

Specialist/Technologist (License #2601001718 in MI)

NPI Profile Active January 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 09, 2017

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

📍
Updated Business Mailing Address January 09, 2017

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

👤
Provider Name / Credentials Updated January 09, 2017

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

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

Emergency Medical Technician, Basic (License #3203056420 in MI)

🟢
Initial NPI Registration & Enumeration September 01, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.