Sean Joseph Blazier, LAT, ATC, USAT
NPI 1417625757ActiveIndividual· Specialist/Technologist, Athletic Trainer· Mequon, WI
Specialist/Technologist, Athletic Trainer (LAT, ATC, USAT) in Mequon, Wisconsin, licensed in WI, with an NPI issued in September 2021.
Overview
| NPI | 1417625757 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAT, ATC, USAT |
| Sole proprietor | Yes |
| NPI issued | Sep 1, 2021 |
| Last updated in NPPES | Jun 8, 2022 |
| Certified by provider | Jun 8, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Athletic Trainer Primary | 2255A2300X | 1852-39 | 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 Mequon
- 1487309423
- 1023487170
- 1104969336
- 1972911758
- 1932994282
- 1285021931
- 1962974030
- 1982097812
- 1023628989
- 1619382306
- 1487240719
- 1124412192
All 43 athletic trainers in Mequon · All athletic trainers in Wisconsin