Mallory Mickus
Athletic Trainer · Bloomington, IN
Mallory Mickus is an athletic trainer with a practice address in Bloomington, Indiana, and NPI 1659785137, issued on Jun 12, 2014. Check the license (Indiana 36001700A, as entered in NPPES) with the Indiana board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Mallory Mickus
- Primary taxonomy
- Athletic Trainer 2255A2300X
- License number
- 36001700A IN
Self-reported in NPPES; status is on the state search - Practice location
- 2200 W Sudbury Dr, Bloomington, IN 47403
- Phone
- (219) 921-4028
- Enumerated
- Jun 12, 2014
- Record last updated
- Jun 12, 2014 (not updated in 12 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 2200 W Sudbury Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Quentin Speight, M.A.Student in an Organized Health Care Education/Training Program1518245273
Verify Mallory Mickus in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Indiana board licenses this profession
Search for license 36001700ACheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
105 athletic trainer records list a practice address in Bloomington
They are 105 of the 3,287 NPPES records with a practice address in Bloomington, and 1,588 athletic trainer records in Indiana. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 105 in Bloomington → All 1,588 in Indiana → Every provider in Bloomington →
Other athletic trainer records in Indiana
- Janelle AbarcaFranklin, IN1013547678
- Erin Abrams, ATC, LATRushville, IN1154728822
- Sara AbramsLafayette, IN1801293758
- Amanda Adams, ATC, LATIndianapolis, IN1376943787
- Heather Adams, LAT, ATCTerre Haute, IN1174839419
- Matthew Adams, LAT, ATCBloomington, IN1912566092
- Kylee Adrianson, ATCGas City, IN1699407676
- Willard Agnew, MS, ATCNotre Dame, IN1013142538
- Jade AguilarPortage, IN1790251981
- Michael Ahearn, ATCChesterton, IN1295194660
Common questions
What is Mallory Mickus's NPI number?
Mallory Mickus's National Provider Identifier (NPI) is 1659785137, issued on Jun 12, 2014. An NPI identifies a provider in billing; it is not a license.
Where is Mallory Mickus located?
The NPPES record lists a practice address at 2200 W Sudbury Dr, Bloomington, IN, 47403. Phone: (219) 921-4028. Providers update this record themselves, so call before visiting.
How can I verify Mallory Mickus's license?
NPPES lists Indiana license number 36001700A, as entered by the provider. Search the Indiana board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.