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

Tristan Daniel Phillips

Individual provider Athletic Trainer · NPI 1629576863

Tristan Daniel Phillips is a Chiropractic in Canton, Ohio. Qualified in 2023, 3 years ago. Practices with McBrearty Family and Sport Chiropractic, LLC, a 3-clinician group. Licensed in Ohio.

Years since qualifying
3
Licensed in
OH
In the registry since
2018
Specialties on file
2

Practice location Address checks out

807 30th St NE
Canton, OH 44714-1404
Phone: (330) 491-0381
Show map & directions

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

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence DC-05377 (OH)
Athletic Trainer Taxonomy 2255A2300X (OH)

Record details

NPI number1629576863
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 23, 2018
Last updated in NPPESJuly 31, 2024
Certification dateJuly 31, 2024
Mailing address807 30th St Ne, Canton, OH 44714-1404

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice McBrearty Family And Sport Chiropractic,Llc — 3 clinicians
Accepts Medicare assignment Not indicated

Other providers in Canton