Kaitlyn Marie Reavis, LAT, ATC
NPI 1831662956ActiveIndividual· Specialist/Technologist, Athletic Trainer· Mooresville, NC
Specialist/Technologist, Athletic Trainer (LAT, ATC) with Legacy Healthcare Services Inc, practicing in Mooresville, North Carolina. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1831662956 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAT, ATC |
| Sole proprietor | No |
| NPI issued | Jan 11, 2019 |
| Last updated in NPPES | Jul 20, 2021 |
| Certified by provider | Jul 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (NC) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Legacy Healthcare Services IncGreenville, SC · 3,223 clinicians
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