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

Jonathan Wicks, ATC, LAT, MED

Individual provider Sports Medicine (Psychiatry & Neurology) Physician · NPI 1003341918

Jonathan Wicks, ATC, LAT, MED is a Sports Medicine (Psychiatry & Neurology) Physician in Bloomington, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
MED — Master of Education
A graduate education degree, written M.Ed.

See every abbreviation used in this directory →

Practice location Address checks out

1001 E 17th St
Bloomington, IN 47408-1590
Phone: (812) 855-7920
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Psychiatry & Neurology) Physician (primary) Taxonomy 2084S0010X · Licence 36002506A (IN)

Record details

NPI number1003341918
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , LAT , MED
Sole proprietorYes
NPI enumeratedApril 28, 2017
Last updated in NPPESApril 28, 2017