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PHILLIP STACK ATC
NPI 1689237471
Specialist/Technologist - Athletic Trainer in Charlotte, NC

Active since April 17, 2019
900 CENTER PARK DR, CHARLOTTE, NC 28217(336) 817-9315 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 16, 2021, Apr 17, 2019 (2 updates tracked since 2019).

About Phillip Stack Atc NPPES

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

PHILLIP STACK ATC (NPI 1689237471) is an individual athletic trainer provider in Charlotte, North Carolina, licensed in North Carolina (2000021342) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1689237471
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NamePHILLIP STACKCredential: ATC
Location Address900 CENTER PARK DRCharlotte, NC 28217-2961
Mailing Address1713 Seifert CirCharlotte, NC 28205-7255 · (336) 817-9315
Phone(336) 817-9315
Sole ProprietorNo
Enumeration DateApril 17, 2019
Last NPPES UpdateDecember 16, 20212 updates tracked since enumeration
NPPES CertifiedDecember 16, 2021
✔ NPI 1689237471 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 NC · 2000021342
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.
900 CENTER PARK DR, Charlotte, NC 28217
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Other Providers at the Same Location NPPES 4

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

CAILYN DUNCAN
Specialist/Technologist (Athletic Trainer)
900 CENTER PARK DR
CHARLOTTE, NC 28217
Mecklenburg County (980) 613-9885
MRS. JENNIFER LOWRIE RD, LDN, CDE
Dietitian, Registered
900 CENTER PARK DR, SUITE J
CHARLOTTE, NC 28217
Mecklenburg County (704) 928-5252
ALICIA FOGARTY MS, RDN, CSSD, LDN
Dietitian, Registered
900 CENTER PARK DR, SUITE J
CHARLOTTE, NC 28217
Mecklenburg County (704) 667-2575
MRS. PATRICIA AZRA RD, LDN
Dietitian, Registered
900 CENTER PARK DR, SUITE J
CHARLOTTE, NC 28217
Mecklenburg County (704) 667-3525

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 Phillip Stack's NPI number?

The NPI number for Phillip Stack is 1689237471. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Where is Phillip Stack located?

Phillip Stack practices at 900 Center Park Dr, Charlotte, NC 28217. The listed phone number is (336) 817-9315.

What is Phillip Stack'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 Phillip Stack was last updated on December 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.