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JONATHAN WICKS ATC, LAT, M.ED
NPI 1003341918
Psychiatry & Neurology - Sports Medicine in Bloomington, IN

Active since April 28, 2017
1001 E 17TH ST, BLOOMINGTON, IN 47408(812) 855-7920 Get Directions Write a Review

NPPES record last updated: April 28, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jonathan Wicks Atc, Lat, M.ed NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JONATHAN WICKS ATC, LAT, M.ED (NPI 1003341918) is an individual sports medicine provider in Bloomington, Indiana, licensed in Indiana (36002506A) and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1003341918
Entity TypeIndividualMale
Primary Taxonomy2084S0010X
Provider Legal NameJONATHAN WICKSCredential: ATC, LAT, M.ED
Location Address1001 E 17TH STBloomington, IN 47408-1590
Mailing Address2728 S Adams St, Unit 5Bloomington, IN 47403-3296 · (574) 250-9007
Phone(812) 855-7920
Sole ProprietorYes
Enumeration DateApril 28, 2017
✔ NPI 1003341918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084S0010X
License✔ Licensed in IN · 36002506A
Definition

A psychiatrist or neurologist who specializes in the diagnosis and treatment of sports related conditions and injuries.

1001 E 17TH ST, Bloomington, IN 47408
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MITCH TAFFE M.S., ATC, CSCS
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST, ATHLETIC TRAINING
BLOOMINGTON, IN 47408
Monroe County (320) 305-1147
MR. ROBERT E BLACK ATC
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (812) 856-2225
GABRIELLE LANGERUD
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (320) 493-3783
MS. WENDELINE K. POPPY PT, LAT, ATC
Physical Therapist
1001 E 17TH ST, ASSEMBLY HALL
BLOOMINGTON, IN 47408
Monroe County (812) 855-8429
JENNIFER ANNE HAMILTON MS, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (347) 556-4478
MR. JOSEPH SCOTT LUEKEN ATC
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST, ASSEMBLY HALL
BLOOMINGTON, IN 47408
Monroe County (812) 855-3619
SARA GILMARTIN
Specialist/Technologist (Athletic Trainer)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (812) 855-4509
LUCAS PHILLIPS MED, ATC, LAT
Physical Medicine & Rehabilitation (Sports Medicine)
1001 E 17TH ST
BLOOMINGTON, IN 47408
Monroe County (812) 855-7916

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Wicks's NPI number?

The NPI number for Jonathan Wicks is 1003341918. It was assigned to this individual provider in the NPPES registry on April 28, 2017.

Where is Jonathan Wicks located?

Jonathan Wicks practices at 1001 E 17th St, Bloomington, IN 47408. The listed phone number is (812) 855-7920.

What is Jonathan Wicks's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Sports Medicine, with taxonomy code 2084S0010X.

When was this NPI record last updated?

The NPPES record for Jonathan Wicks was last updated on April 28, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.