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

Shane T Phillips, MED, ATC/L, PES

Individual provider Athletic Trainer · NPI 1063283463

Shane T Phillips, MED, ATC/L, PES is an Athletic Trainer in Anchorage, Alaska. Licensed in Iowa. Registered with an NPI since 2024.

Licensed in
IA
In the registry since
2024
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

See every abbreviation used in this directory →

Practice location Address checks out

5955 Zeamer Ave
Anchorage, AK 99506-3702
Phone: (907) 580-2778
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 123978 (IA)

Record details

NPI number1063283463
Entity typeIndividual (Type 1)
GenderMale
Credentials MED , ATC/L , PES
Sole proprietorNo
NPI enumeratedJanuary 15, 2024
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 12, 2024

Other providers in Anchorage