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Active NPI 1578736799 Individual Practitioner Male Practitioner

Timothy Koba , ATC, CSCS, LMT, CMT

Specialist/Technologist - Athletic Trainer • Ithaca, NY

Professional Overview & Biography Verified Profile Summary

Timothy Koba, ATC, CSCS, LMT, CMT is a registered healthcare professional specializing in Specialist/Technologist - Athletic Trainer in Ithaca, NY. Practice services are available at 310 TAUGHANNOCK BVLD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

310 Taughannock Bvld
Suite 5a

Ithaca, NY 14850

Telephone 6072523500
Associated Practice Facility / Clinic
🏢 Cayuga Medical Center Facility NPI 1811210388

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist/Technologist - Athletic Trainer in Ithaca, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
75 Specialists

Practicing in Ithaca, NY (1618 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist/Technologist - Athletic Trainer Primary Specialty

NUCC Taxonomy Code: 2255A2300X

State License NY 001623-1

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

Massage Therapist

NUCC Taxonomy Code: 225700000X

State License NY 019227

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

19 Associated Practitioners
Dr. Maxwell Cantor , PT, DPT

Physical Therapist - Orthopedic

NPI 1093054884

Physical Therapist, Doctor of Physical Therapy

Stephanie Allen

Physical Therapist

NPI 1093136293
Dr. Brooke Fruechtl , DPT

Physical Therapist

NPI 1134492671

Doctor of Physical Therapy

Margaret Vence

Physical Therapist

NPI 1144543166
NPI 1194436592

Physical Therapist, Doctor of Physical Therapy

Kerry Peters , PT

Physical Therapist

NPI 1235359076

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2008

Registered at 310 TAUGHANNOCK BVLD, SUITE 5A, ITHACA, NY 14850 (Tel: 6072523500)

📍
Updated Business Mailing Address April 10, 2008

Registered at 2145 MECKLENBURG RD, APT 1, ITHACA, NY 148509378 (Tel: 6072523500)

👤
Provider Name / Credentials Updated April 10, 2008

Recorded as TIMOTHY KOBA, ATC,CSCS,LMT,CMT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2008

Specialist/Technologist (License #001623-1 in NY)

🟢
Initial NPI Registration & Enumeration April 09, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578736799
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 09, 2008
Last Update: April 10, 2008
Sole Proprietor: Yes

Mailing Address

2145 Mecklenburg Rd, Apt 1

Ithaca, NY 148509378

Phone: 6072523500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.