Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Willie Phillips II, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1154813756

Mr. Willie Phillips II, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2018.

Licensed in
NC
In the registry since
2018
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1900 Selwyn Ave
Charlotte, NC 28274-0001
Phone: (704) 337-2405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence LAT-3766 (NC)

Record details

NPI number1154813756
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedMay 31, 2018
Last updated in NPPESMay 31, 2018

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