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

Phillip Stack, ATC

Individual provider Athletic Trainer · NPI 1689237471

Phillip Stack, ATC is an Athletic Trainer in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2019.

Licensed in
NC
In the registry since
2019
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

900 Center Park Dr
Charlotte, NC 28217-2961
Phone: (336) 817-9315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000021342 (NC)

Record details

NPI number1689237471
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021

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