IndividualActive
Jesse Dimick, PTA, LATC
NPI 1386680809 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · West Roxbury, MA
Provider details
- NPI number
- 1386680809
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- PTA, LATC
- Sex
- Male
- License
- 1708 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
43 Redlands Rd
West Roxbury, MA 02132-1506
Phone: (617) 892-2749
Approximate (ZIP-level) locationGet directions
Mailing address
43 Redlands Rd
West Roxbury, MA 02132-1506
Registry dates
- Enumerated
- 2006-06-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.