NPI 1386680809

Jesse Lee Dimick, PTALATC

Practitioner Sports Medicine (Physical Medicine & Rehabilitation) Physician West Roxbury, MA

Practice location

Address: 43 Redlands Rd, West Roxbury, MA 02132-1506
Phone: (617) 892-2749

Registered specialties

Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2081S0010X Licence 1708 (MA)

Other Physical Medicine & Rehabilitation providers in Massachusetts →

Registry record

NPI: 1386680809
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Jun 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.