SHANE T PHILLIPS MED, ATC/L, PES
NPI 1063283463
Specialist/Technologist - Athletic Trainer in Anchorage, AK

Q: What is Shane Phillips's NPI number?

The NPI number for Shane Phillips is 1063283463. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Q: What is Shane Phillips's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shane Phillips was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 15, 2024

5955 ZEAMER AVE, ANCHORAGE, AK 99506(907) 580-2778 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Shane T Phillips Med, Atc/l, Pes NPPES

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

SHANE T PHILLIPS MED, ATC/L, PES (NPI 1063283463) is an individual athletic trainer provider in Anchorage, Alaska, licensed in Iowa (123978) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1063283463

Entity TypeIndividualMale

Primary Taxonomy2255A2300X

Provider Legal NameSHANE T PHILLIPSCredential: MED, ATC/L, PES

Location Address5955 ZEAMER AVEAnchorage, AK 99506-3702

Mailing Address4610 Reka Dr Apt A19Anchorage, AK 99508-3614 · (303) 883-6151

Phone(907) 580-2778

Sole ProprietorNo

Enumeration DateJanuary 15, 2024

NPPES CertifiedJanuary 12, 2024

✔ NPI 1063283463 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

License✔ Licensed in IA · 123978

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.

5955 ZEAMER AVE, Anchorage, AK 99506

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AUDREA DONETA WILLIAMS M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

5955 ZEAMER AVE
JBER, AK 99506

Anchorage Municipality (907) 580-6552

DR. IAN CIRASUNDA DETTMAN PHARMD

Pharmacist

5955 ZEAMER AVE
JBER, AK 99506

Anchorage Municipality (907) 580-6800

DR. BRIAN G ROGERS MD

Emergency Medicine

5955 ZEAMER AVE, 3RD MD6
ELMENDORF AFB, AK 99506

Anchorage Municipality (907) 580-5555

MS. MONIQUE CELINE GASSEK ATC

Specialist/Technologist (Athletic Trainer)

5955 ZEAMER AVE
ELMENDORF AFB, AK 99506

Anchorage Municipality (603) 915-7141

RACHELLE GOEBEL

Dietitian, Registered

5955 ZEAMER AVE
JBER, AK 99506

Anchorage Municipality (907) 580-4050

DR. DAVID JOSEPH SHAW D.O.

Internal Medicine (Cardiovascular Disease)

5955 ZEAMER AVE, 673D MDG
JBER ELMENDORF AFB, AK 99506

Anchorage Municipality (907) 580-1011

ELDON SNYDER D.O.

Radiology (Diagnostic Radiology)

5955 ZEAMER AVE
JBER, AK 99506

Anchorage Municipality (907) 580-6760

DR. KIMPREET KAUR

Anesthesiology (Pain Medicine)

5955 ZEAMER AVE
ELMENDORF AFB, AK 99506

Anchorage Municipality (907) 580-7246

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 Shane Phillips's NPI number?

The NPI number for Shane Phillips is 1063283463. It was assigned to this individual provider in the NPPES registry on January 15, 2024.

Where is Shane Phillips located?

Shane Phillips practices at 5955 Zeamer Ave, Anchorage, AK 99506. The listed phone number is (907) 580-2778.

What is Shane Phillips's specialty?

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

When was this NPI record last updated?

The NPPES record for Shane Phillips was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.