Timothy Koba, ATC,CSCS,LMT,CMT - in Ithaca, NY

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Timothy Koba, ATC,CSCS,LMT,CMT is a Specialist/technologist - Athletic Trainer based in Ithaca, New York. Timothy Koba is licensed to practice in New York (license number 001623-1) and his current practice location is 310 Taughannock Bvld, Suite 5a, Ithaca, New York. He can be reached at his office (for appointments etc.) via phone at (607) 252-3500.

NPI number for Timothy Koba is 1578736799 and his current mailing address is 2145 Mecklenburg Rd, Apt 1, Ithaca, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578736799.

Contact Information

Timothy Koba, ATC,CSCS,LMT,CMT
310 Taughannock Bvld, Suite 5a,
Ithaca, NY 14850
(607) 252-3500
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTimothy Koba
GenderMale
SpecialitySpecialist/technologist - Athletic Trainer
Location310 Taughannock Bvld, Ithaca, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1578736799
  • Provider Enumeration Date: 04/09/2008
  • Last Update Date: 04/10/2008

Medical Identifiers

Medical identifiers for Timothy Koba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578736799NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist 019227 (New York)Secondary
2255A2300XSpecialist/technologist - Athletic Trainer 001623-1 (New York)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Timothy Koba is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Timothy Koba, ATC,CSCS,LMT,CMT
2145 Mecklenburg Rd, Apt 1,
Ithaca, NY 14850-9378

Ph: (607) 252-3500		Timothy Koba, ATC,CSCS,LMT,CMT
310 Taughannock Bvld, Suite 5a,
Ithaca, NY 14850

Ph: (607) 252-3500

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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