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Active NPI 1063283463 Individual Practitioner Male Practitioner

Shane T Phillips , MED, ATC, L, PES

Specialist/Technologist - Athletic Trainer • Anchorage, AK

Professional Overview & Biography Verified Profile Summary

Shane Phillips, MED, ATC, L, PES is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Anchorage, AK. Practice services are available at 5955 ZEAMER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5955 Zeamer Ave

Anchorage, AK 995063702

Telephone 9075802778
Associated Practice Facility / Clinic
🏢 Department Of Defense Facility NPI 1669898623

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Anchorage, AK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
19 Specialists

Practicing in Anchorage, AK (42 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-12
Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License IA 123978

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners
Dr. Sheryse Mobley , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1003470485

Doctor of Podiatric Medicine

Dr. Audra Cochran , MD

Allergy & Immunology

NPI 1073861720

Doctor of Medicine (M.D.)

Dr. Jennifer Pakieser , MD

Emergency Medicine

NPI 1093456931

Doctor of Medicine (M.D.)

NPI 1154916450

Doctor of Dental Medicine

Dr. Donovan Nourn , DO

Psychiatry & Neurology - Psychiatry

NPI 1154942324

Doctor of Osteopathic Medicine (D.O.)

Dr. Aaron Cotney , DO

Psychiatry & Neurology - Psychiatry

NPI 1164006193

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 15, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2024

Registered at 5955 ZEAMER AVE, ANCHORAGE, AK 995063702 (Tel: 9075802778)

📍
Updated Business Mailing Address January 15, 2024

Registered at 4610 REKA DR APT A19, ANCHORAGE, AK 995083614 (Tel: 3038836151)

👤
Provider Name / Credentials Updated January 15, 2024

Recorded as SHANE PHILLIPS, MED, ATC/L, PES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2024

Specialist/Technologist (License #123978 in IA)

🟢
Initial NPI Registration & Enumeration January 15, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063283463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2024
Last Update: January 15, 2024
Sole Proprietor: No

Mailing Address

4610 Reka Dr Apt A19

Anchorage, AK 995083614

Phone: 3038836151

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.