Mallory Mickus
NPI 1659785137 · Athletic Trainer · Bloomington, IN
Mallory Mickus is a Athletic Trainer provider in Bloomington, IN (NPI 1659785137).
Provider details
- NPI number
- 1659785137
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 36001700A (IN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
- 2014-06-12
- Last updated
- 2014-06-12
Frequently asked questions
- What is Mallory Mickus's NPI number?
- Mallory Mickus's National Provider Identifier (NPI) is 1659785137, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mallory Mickus's specialty?
- Mallory Mickus is listed in the NPPES registry with a primary specialty of Athletic Trainer (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mallory Mickus located?
- Mallory Mickus's practice location on file with NPPES is 2200 W Sudbury Dr, Bloomington, IN 47403-3736.
- What is Mallory Mickus's phone number?
- The practice phone number listed in the NPPES registry for Mallory Mickus is (219) 921-4028.
- Is Mallory Mickus's NPI active?
- Yes — Mallory Mickus's NPI (1659785137) is active in the NPPES registry as of the last update on 2014-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.