Active NPIIndividual providerSole proprietor

Mrs. Kelly B Desimone, PT

Physical Therapist in East Providence, Rhode Island

NPI Number1518907930
Practice location
1 Kettle Point Ave, East Providence, RI 02914-5375
Fax
401-626-3851
Last updated
February 15, 2019

Kelly Bettez Desimone is a Physical Therapist based in East Providence, RI. Kelly Bettez Desimone practices in East Providence, RI and has the professional credentials of PT. The NPI Number for Kelly Bettez Desimone is 1518907930 and holds a License No. 001024 (RI). The current practice location address for Kelly Bettez Desimone is 1 Kettle Point Ave, East Providence, RI 02914-5375 and can be reached out via phone at 401-277-0790 and via fax at 401-626-3851.

Provider Profile Details

NPI Number
1518907930
Provider Name
Kelly Bettez Desimone
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1 Kettle Point Ave, East Providence, RI 02914-5375
Phone Number
401-277-0790
Fax Number
401-626-3851
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
June 7, 2006
Last Update Date
February 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Kettle Point Ave
East Providence, RI 02914-5375
Zip
02914-5375
Phone Number
401-277-0790
Fax Number
401-626-3851
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
2 Dudley St
Providence, RI 02905-3236
City
Providence
State
RI
Zip
02905-3236
Phone Number
401-330-1428
Fax Number
401-626-3851

License Information

License Number (1)
001024
License State (1)
RI
Taxonomy (1)
Specialist · 174400000X
License Number (2)
01024
License State (2)
RI
Taxonomy (2)
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Kelly B Desimone, PT?

The NPI number of Mrs. Kelly B Desimone, PT is 1518907930. It was assigned on June 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Kelly B Desimone, PT?

Mrs. Kelly B Desimone, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in RI under license number 001024.

Where does Mrs. Kelly B Desimone, PT practice?

The practice location is 1 Kettle Point Ave, East Providence, RI 02914-5375. The office can be reached at 401-277-0790 (phone) or 401-626-3851 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1518907930 directly on the NPPES registry website.

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