Mr. Jesse L Dimick, PTA, LATC
Physical Medicine & Rehabilitation, Sports Medicine in West Roxbury, Massachusetts
1386680809- Practice location
- 43 Redlands RD, West Roxbury, MA 02132-1506
- Phone
- 617-892-2749
- Fax
- —
- Last updated
- July 13, 2026
Jesse Lee Dimick is a Physical Medicine & Rehabilitation, Sports Medicine based in West Roxbury, MA. Jesse Lee Dimick practices in West Roxbury, MA and has the professional credentials of PTA, LATC. The NPI Number for Jesse Lee Dimick is 1386680809 and holds a License No. 1708 (MA). The current practice location address for Jesse Lee Dimick is 43 Redlands RD, West Roxbury, MA 02132-1506 and can be reached out via phone at 617-892-2749.
Provider Profile Details
- NPI Number
- 1386680809
- Provider Name
- Jesse Lee Dimick
- Credential
- PTA, LATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 43 Redlands RD, West Roxbury, MA 02132-1506
- Phone Number
- 617-892-2749
- Primary Taxonomy
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 43 Redlands RD
West Roxbury, MA 02132-1506 - City
- West Roxbury
- State
- Massachusetts
- Zip
- 02132-1506
- Phone Number
- 617-892-2749
Provider Business Mailing Address Details
- Address
- 43 Redlands RD
West Roxbury, MA 02132-1506 - City
- West Roxbury
- State
- MA
- Zip
- 02132-1506
- Phone Number
- 617-892-2749
License Information
- License Number
- 1708
- License State
- MA
- Taxonomy
- Physical Medicine & Rehabilitation, Sports Medicine · 2081S0010X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Jesse L Dimick, PTA, LATC?
The NPI number of Mr. Jesse L Dimick, PTA, LATC is 1386680809. It was assigned on June 22, 2006 and is currently active in the NPPES registry.
What is the specialty of Mr. Jesse L Dimick, PTA, LATC?
Mr. Jesse L Dimick, PTA, LATC is registered under the primary taxonomy Physical Medicine & Rehabilitation, Sports Medicine (code 2081S0010X), licensed in MA under license number 1708.
Where does Mr. Jesse L Dimick, PTA, LATC practice?
The practice location is 43 Redlands RD, West Roxbury, MA 02132-1506. The office can be reached at 617-892-2749 (phone).
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 1386680809 directly on the NPPES registry website.