IndividualActive
Jamie Dedecko, PTA
NPI 1669596169 · Physical Therapy Assistant · South Yarmouth, MA
Provider details
- NPI number
- 1669596169
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 103 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
265 N Main St
South Yarmouth, MA 02664-2083
Phone: (508) 394-3514
Fax: (508) 394-0759
Street-level locationGet directions
Mailing address
2 Ivy Ln
Sandwich, MA 02563-3125
Registry dates
- Enumerated
- 2007-03-19
- 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.