Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Giavanna Desimone, LAT, ATC

Individual provider Athletic Trainer · NPI 1740883719

Giavanna Desimone, LAT, ATC is an Athletic Trainer in Ridgewood, New Jersey. Licensed in New Jersey. Registered with an NPI since 2020.

Licensed in
NJ
In the registry since
2020
What do these letters mean?
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

321 Goffle Rd
Ridgewood, NJ 07450-4033
Phone: (201) 206-1516
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 25MT00264900 (NJ)

Record details

NPI number1740883719
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAT , ATC
Sole proprietorNo
NPI enumeratedNovember 20, 2020
Last updated in NPPESNovember 20, 2020
Certification dateNovember 20, 2020

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