Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Birgit Petra Ickenroth, ATC

Individual provider Athletic Trainer · NPI 1932217098

Birgit Petra Ickenroth, ATC is an Athletic Trainer in Williamstown, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

See every abbreviation used in this directory →

Practice location Address checks out

700 N Tuckahoe Rd
Williamstown, NJ 08094-3512
Phone: (856) 262-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00068800 (NJ)

Record details

NPI number1932217098
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address339 Legion Ct # A, Pitman, NJ 08071-2435

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