Travis E Igboin

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1197 Riverton Rd
Cinnaminson, NJ 08077-2312

Phone

(256) 698-7484

NPI assigned

Jan 13, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1174097125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 CHAPEL AVE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022304",
            "telephone_number": "256-698-7484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1197 RIVERTON RD",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772312",
            "telephone_number": "256-698-7484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGBOIN",
        "first_name": "TRAVIS",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-13",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Horner
• Mark In Huh, DMD
• Mark Hummel, MD
• Keang H Huynh, RPH
• Linh T Huynh, DPT
• Javeria Ijaz
• Intercollaborative Care Inc
• Sahar Islam, RBT
• Emilia N Iwu, APNC
• Kristen Lynn Jacobs, NP

• Athletic Trainer in Cinnaminson, NJ
• Providers in Cinnaminson, NJ by specialty
• Athletic Trainer in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.