Individual provider Active NPI

Alexandra L Corbitt, MSAT, ATC

  • Athletic Trainer
  • Marietta, OH
National Provider Identifier
1114452315
Registry record updated Dec 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT006426 Issued in OH
Practice address
215 5TH St
Athletic Training Dept.
Marietta, OH 45750-4033
Phone
(740) 376-4575
Fax
(740) 376-4405
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT001211 WV
Athletic Trainer 2255A2300X 849 OK
Athletic TrainerGroup: 193400000X SINGLE SPECIALTY GROUP 2255A2300X AT006426 OH Primary

Addresses

Primary practice location

215 5TH St
Athletic Training Dept.
Marietta, OH 45750-4033

Mailing address

215 5TH St
Athletic Training Dept.
Marietta, OH 45750-4033
Phone (740) 376-4575

Other identifiers 2

IdentifierTypeStateIssuer
AT006426OtherOHATHLETICTRAININGBOARD
AT001211OtherWVWV BOARD OF PHYSICAL THERAPY

Other names 1

  • Ms. Alexandra L Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AT006426OHMDAthletic Trainer
AT001211WVMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1114452315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 5TH ST",
            "address_2": "ATHLETIC TRAINING DEPT.",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457504033",
            "telephone_number": "740-376-4575",
            "fax_number": "740-376-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 5TH ST",
            "address_2": "ATHLETIC TRAINING DEPT.",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457504033",
            "telephone_number": "740-376-4575",
            "fax_number": "740-376-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBITT",
        "first_name": "ALEXANDRA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSAT, ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WV",
            "license": "AT001211",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "849",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OH",
            "license": "AT006426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATHLETICTRAININGBOARD",
            "identifier": "AT006426",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WV BOARD OF PHYSICAL THERAPY",
            "identifier": "AT001211",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "LEE",
            "middle_name": "L",
            "prefix": "MS.",
            "credential": "MSAT, ATC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; 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.