Matthew Thomas Jaksetic, ATC
NPI 1366776452ActiveIndividual· Specialist/Technologist, Athletic Trainer· Hailey, ID
Specialist/Technologist, Athletic Trainer (ATC) in Hailey, Idaho, licensed in ID and WI, with an NPI issued in September 2009.
Overview
| NPI | 1366776452 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | ATC |
| Sole proprietor | Yes |
| NPI issued | Sep 23, 2009 |
| Last updated in NPPES | Jun 15, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | AT-364 | ID |
| Specialist/Technologist, Athletic Trainer | 2255A2300X | 959039 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other athletic trainers in Hailey
- 1225360035