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 with the weekly NPPES data releases published by CMS.

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: July 26, 2026.

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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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