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TIMOTHY KOBA ATC,CSCS,LMT,CMT
NPI 1578736799
Specialist/Technologist - Athletic Trainer in Ithaca, NY

Active since April 09, 2008
310 TAUGHANNOCK BVLD, SUITE 5A, ITHACA, NY 14850(607) 252-3500 Get Directions Write a Review

NPPES record last updated: April 10, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timothy Koba Atc,cscs,lmt,cmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY KOBA ATC,CSCS,LMT,CMT (NPI 1578736799) is an individual athletic trainer provider in Ithaca, New York, licensed in New York (001623-1) and active in the NPI registry since April 2008.

NPPES Registry Identity

NPI1578736799
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameTIMOTHY KOBACredential: ATC,CSCS,LMT,CMT
Location Address310 TAUGHANNOCK BVLD, SUITE 5AIthaca, NY 14850
Mailing Address2145 Mecklenburg Rd, Apt 1Ithaca, NY 14850-9378 · (607) 252-3500
Phone(607) 252-3500
Sole ProprietorYes
Enumeration DateApril 9, 2008
Last NPPES UpdateApril 10, 2008
✔ NPI 1578736799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in NY · 001623-1
Definition
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.
Also ListedMassage TherapistTaxonomy 225700000X · License 019227 (NY)
310 TAUGHANNOCK BVLD, Ithaca, NY 14850
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Koba's NPI number?

The NPI number for Timothy Koba is 1578736799. It was assigned to this individual provider in the NPPES registry on April 9, 2008.

Where is Timothy Koba located?

Timothy Koba practices at 310 Taughannock Bvld Suite 5A, Ithaca, NY 14850. The listed phone number is (607) 252-3500.

What is Timothy Koba's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Timothy Koba was last updated on April 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.