Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jamie Dedecko, PTA

Individual provider Physical Therapy Assistant · NPI 1669596169

Jamie Dedecko, PTA is a Physical Therapy Assistant in South Yarmouth, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2007
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

265 N Main St
South Yarmouth, MA 02664-2083
Phone: (508) 394-3514
Fax: (508) 394-0759
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Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 103 (MA)

Record details

NPI number1669596169
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007
Mailing address2 Ivy Ln, Sandwich, MA 02563-3125

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