MR. WILLIE PHILLIPS II ATC
NPI 1154813756
Physical Medicine & Rehabilitation - Sports Medicine in Charlotte, NC

Q: What is Willie Phillips's NPI number?

The NPI number for Willie Phillips is 1154813756. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Q: What is Willie Phillips's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for Willie Phillips was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 31, 2018

1900 SELWYN AVE, CHARLOTTE, NC 28274(704) 337-2405 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Willie Phillips Ii Atc NPPES

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

MR. WILLIE PHILLIPS II ATC (NPI 1154813756) is an individual sports medicine provider in Charlotte, North Carolina, licensed in North Carolina (LAT-3766) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1154813756

Entity TypeIndividualMale

Primary Taxonomy2081S0010X

Provider Legal NameMR. WILLIE PHILLIPS IICredential: ATC

Location Address1900 SELWYN AVECharlotte, NC 28274-0001

Mailing Address1900 Selwyn AveCharlotte, NC 28274-0001 · (704) 337-2405

Phone(704) 337-2405

Sole ProprietorNo

Enumeration DateMay 31, 2018

✔ NPI 1154813756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

License✔ Licensed in NC · LAT-3766

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

1900 SELWYN AVE, Charlotte, NC 28274

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Other Identifiers 2

Other2000008378CA · Nataboc

OtherLAT-3766NC · North Carolina Board Of Athletic Trainer Examiners

Other Providers at the Same Location NPPES 7

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

MEG JOHNSON MT-BC

Music Therapist

1900 SELWYN AVE, QUEENS UNIVERSITY OF CHARLOTTE
CHARLOTTE, NC 28274

Mecklenburg County (704) 337-2520

REBECCA HOPE RICH ATC

Specialist/Technologist (Athletic Trainer)

1900 SELWYN AVE, #421
CHARLOTTE, NC 28274

Mecklenburg County (704) 337-2405

QUEENS UNIVERSITY OF CHARLOTTE

Family Medicine (Sports Medicine)