Mark Christopher Coberley, MS ATC LAT CSCS PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

110 Issued in IA

Practice address

Jacobson Athletic Complex, One Cyclone Way
Iowa State University
Ames, IA 50011-0001

Phone

(515) 294-4441

Fax

(515) 294-6554

NPI assigned

Mar 20, 2006

Sex

Male

Sole proprietor

No

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114986148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JACOBSON ATHLETIC COMPLEX, ONE CYCLONE WAY",
            "address_2": "IOWA STATE UNIVERSITY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500110001",
            "telephone_number": "515-294-4441",
            "fax_number": "515-294-6554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "JACOBSON ATHLETIC COMPLEX, ONE CYCLONE WAY",
            "address_2": "IOWA STATE UNIVERSITY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500110001",
            "telephone_number": "515-294-4441",
            "fax_number": "515-294-6554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBERLEY",
        "first_name": "MARK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "MS ATC LAT CSCS PES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.