MR. JESSE LEE DIMICK PTA LATC NPI 1386680809

NPI Information

  • NPI: 1386680809
  • Provider Name: MR. JESSE LEE DIMICK, PTA, LATC
  • Classification: Physical Medicine & Rehabilitation - 2081S0010X
  • Specialization: Sports Medicine
  • Entity Type: Individual
  • Address: 43 REDLANDS RD
    WEST ROXBURY, MA
    ZIP 02132
  • Phone: (617) 892-2749

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NPI Details

MR. Jesse Lee Dimick, PTA, LATC is a sports medicine physical medicine rehabilitation in West Roxbury, MA. The provider is a physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. MR. Jesse Lee Dimick, PTA, LATC NPI is 1386680809. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

43 REDLANDS RD
WEST ROXBURY, MA
ZIP 02132-506
Phone: (617) 892-2749

The enumeration date for this NPI number is 6/22/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081S0010XPhysical Medicine & RehabilitationSports Medicine1708MASSACHUSETTSYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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