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BETHANY J. DESIMONE ATC
NPI 1306136643
Preventive Medicine - Sports Medicine in Bellevue, WA

Active since April 07, 2011
1750 112TH AVE NE STE D154, BELLEVUE, WA 98004(425) 643-9778(425) 643-6448 Get Directions Write a Review

NPPES record last updated: April 7, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany J. Desimone Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BETHANY J. DESIMONE ATC (NPI 1306136643) is an individual sports medicine provider in Bellevue, Washington, licensed in Washington (A1 60045357) and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1306136643
Entity TypeIndividualFemale
Primary Taxonomy2083S0010X
Provider Legal NameBETHANY J. DESIMONECredential: ATC
Location Address1750 112TH AVE NE STE D154Bellevue, WA 98004-3727
Mailing Address1750 112th Ave Ne Ste D154Bellevue, WA 98004-3727 · (425) 643-9778 · Fax (425) 643-6448
Phone(425) 643-9778
Fax(425) 643-6448
Sole ProprietorNo
Enumeration DateApril 7, 2011
✔ NPI 1306136643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreventive Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083S0010X
License✔ Licensed in WA · A1 60045357
Definition
A preventive medicine physician who specializes in the diagnosis and treatment of sports related conditions and injuries.
1750 112TH AVE NE STE D154, Bellevue, WA 98004
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bethany Desimone's NPI number?

The NPI number for Bethany Desimone is 1306136643. It was assigned to this individual provider in the NPPES registry on April 7, 2011.

Where is Bethany Desimone located?

Bethany Desimone practices at 1750 112th Ave NE Ste D154, Bellevue, WA 98004. The listed phone number is (425) 643-9778.

What is Bethany Desimone's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Sports Medicine, with taxonomy code 2083S0010X.

When was this NPI record last updated?

The NPPES record for Bethany Desimone was last updated on April 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.