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

Mr. Jesse Lee Dimick, PTA, LATC

Individual provider Sports Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1386680809

Mr. Jesse Lee Dimick, PTA, LATC is a Sports Medicine (Physical Medicine & Rehabilitation) Physician in West Roxbury, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2006.

Licensed in
MA
In the registry since
2006
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

43 Redlands Rd
West Roxbury, MA 02132-1506
Phone: (617) 892-2749
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081S0010X · Licence 1708 (MA)

Record details

NPI number1386680809
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA , LATC
Sole proprietorNo
NPI enumeratedJune 22, 2006
Last updated in NPPESJuly 13, 2026