Jonathan Wicks, ATC, LAT, M.ED
NPI 1003341918 · Sports Medicine (Psychiatry & Neurology) Physician · Bloomington, IN
Jonathan Wicks, ATC, LAT, M.ED is a Sports Medicine (Psychiatry & Neurology) Physician provider in Bloomington, IN (NPI 1003341918).
Provider details
- NPI number
- 1003341918
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Psychiatry & Neurology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC, LAT, M.ED
- Sex
- Male
- Sole proprietor
- Yes
- License
- 36002506A (IN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-04-28
- Last updated
- 2017-04-28
Frequently asked questions
- What is Jonathan Wicks's NPI number?
- Jonathan Wicks's National Provider Identifier (NPI) is 1003341918, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Wicks's specialty?
- Jonathan Wicks is listed in the NPPES registry with a primary specialty of Sports Medicine (Psychiatry & Neurology) Physician (Allopathic & Osteopathic Physicians).
- Where is Jonathan Wicks located?
- Jonathan Wicks's practice location on file with NPPES is 1001 E 17th St, Bloomington, IN 47408-1590.
- What is Jonathan Wicks's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Wicks is (812) 855-7920.
- Is Jonathan Wicks's NPI active?
- Yes — Jonathan Wicks's NPI (1003341918) is active in the NPPES registry as of the last update on 2017-04-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.