Active NPI
Taylor Phillips, ATC
- Athletic Trainer
- Concord, NC
National Provider Identifier
1124766530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- LAT-4432
- Practice address
- 5651 Poplar Tent Rd Ste 102
Concord, NC 28027-7530 - Phone
- (704) 863-4878
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | LAT-4432 | NC | Primary |
Addresses
Primary practice location
5651 Poplar Tent Rd Ste 102
Concord, NC 28027-7530
Mailing address
5433 Shoal Brook CT
Charlotte, NC 28277-9689
Phone (704) 930-9616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LAT-4432 | NC | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1124766530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5433 SHOAL BROOK CT",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282779689",
"telephone_number": "704-930-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 POPLAR TENT RD STE 102",
"city": "CONCORD",
"state": "NC",
"postal_code": "280277530",
"telephone_number": "704-863-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "TAYLOR",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2022-05-25",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NC",
"license": "LAT-4432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
- Carolyn Franzese Phillips, MSW, LCSW
- Eslie Rolland Phillips III, M.D.
- Kaci Schenk Phillips
- Lorree Michelle Phillips, LPC-A, LCAS
- Rebecca Kathleen Phillips
- Teresa L Phillips, MA,EDS,LPC
- Mildred Ladean Phipps, LPC, LCAS
- Jennifer Isabel Piana, LCSW
- Latonja Pickett, MSW, LCSW
- Piedmont Area MH, DD and Sa Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.