Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gerald Mickler, LAT, ATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1417279969

Gerald Mickler, LAT, ATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in Indianapolis, Indiana. Licensed in Arizona and Indiana. Registered with an NPI since 2010.

Licensed in
AZ, IN
In the registry since
2010
Specialties on file
2
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

9500 E 16th St
Indianapolis, IN 46229-2008
Phone: (317) 532-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 36001951A (IN)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X · Licence 0849 (AZ)

Record details

NPI number1417279969
Entity typeIndividual (Type 1)
GenderMale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedFebruary 25, 2010
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024

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