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KAITLYN MARIE REAVIS LAT, ATC
NPI 1831662956
Specialist/Technologist - Athletic Trainer in Mooresville, NC

Active since January 11, 2019Accepts Medicare Assignment
137 GLENN ALLEN RD, MOORESVILLE, NC 28115(704) 677-6201 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2021, Jan 11, 2019 (2 updates tracked since 2019).

About Kaitlyn Marie Reavis Lat, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAITLYN MARIE REAVIS LAT, ATC (NPI 1831662956) is an individual athletic trainer provider in Mooresville, North Carolina and active in the NPI registry since January 2019. She is a graduate of Other (2025).

NPPES Registry Identity

NPI1831662956
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameKAITLYN MARIE REAVISCredential: LAT, ATC
Location Address137 GLENN ALLEN RDMooresville, NC 28115-5809
Mailing Address137 Glenn Allen RdMooresville, NC 28115-5809 · (704) 677-6201
Phone(704) 677-6201
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 11, 2019
Last NPPES UpdateJuly 20, 20212 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
✔ NPI 1831662956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
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.
137 GLENN ALLEN RD, Mooresville, NC 28115
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kaitlyn Marie Reavis Lat, Atc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628537933
PECOS Enrollment IDI20260827000962

Medicare Billing Reassignment

Medicare enrollment records show Kaitlyn Reavis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Legacy Healthcare Services, Inc.
107 mi
Physical Therapist
2701 PICKETT RD
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • 320 clinicians in this Medicare group
NPI 1104823400 (919) 424-5080

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kaitlyn Reavis's NPI number?

The NPI number for Kaitlyn Reavis is 1831662956. It was assigned to this individual provider in the NPPES registry on January 11, 2019.

Where is Kaitlyn Reavis located?

Kaitlyn Reavis practices at 137 Glenn Allen Rd, Mooresville, NC 28115. The listed phone number is (704) 677-6201.

What is Kaitlyn Reavis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Is Kaitlyn Reavis enrolled in Medicare?

Yes. Kaitlyn Reavis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kaitlyn Reavis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaitlyn Reavis reassigns Medicare benefits to Legacy Healthcare Services, Inc. (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kaitlyn Reavis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kaitlyn Reavis was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.