MR. JESSE LEE DIMICK (NPI# 1386680809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386680809 |
| Entity Type | Individual |
| Full Name | MR. JESSE LEE DIMICK |
| Credential | PTA, LATC |
| Practice Address |
43 Redlands Rd West Roxbury MA 02132-1506 |
| Practice Telephone | 6178922749 |
| Mailing Telephone | 6178922749 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081S0010X |
Physical Medicine & Rehabilitation Specialization: Sports Medicine |
1708 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
43 REDLANDS RD |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| Taxonomy Code | 2081S0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Sports Medicine |
| A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise. |
| Notes: Source: American Board of Medical Specialties, 2009. www.abms.org [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777535 | Kristina M Rossignoll | Physical Medicine & Rehabilitation | 14 Rutledge Rd, Peabody, MA 01960-3424 | 2020-10-13 |
| 1790277150 | Amelia N Houghton | Physical Medicine & Rehabilitation | 25 Taunton St, Plainville, MA 02762-2188 | 2018-06-01 |
| 1659886968 | Tessa Riccio | Physical Medicine & Rehabilitation | 1681 Washington St Ste 1, Braintree, MA 02184-7951 | 2017-12-08 |
| 1851823165 | Lauren Wilmot | Physical Medicine & Rehabilitation | 102 Shore Dr Ste 104, Worcester, MA 01605-3154 | 2017-03-28 |
| 1750567236 | James Mcghee | Physical Medicine & Rehabilitation | 721 East Falmouth Highway, East Falmouth, MA 02536 | 2008-01-15 |
| 1811063803 | Kennedy Brothers Physical Therapy | Physical Medicine & Rehabilitation | 505 Boylston St, Boston, MA 02116 | 2006-11-28 |
| 1407824576 | Maurice R Bernaiche | Physical Medicine & Rehabilitation | 483 Holyoke St, Ludlow, MA 01056-1934 | 2006-03-14 |
| 1316547201 | Michelle Jane Mailloux | Physical Medicine & Rehabilitation | 484 Main St Ste 600, Worcester, MA 01608-1881 | 2020-10-29 |
| 1811597123 | Jennifer Hahne | Physical Medicine & Rehabilitation | 7 Reservoir Rd, Beverly, MA 01915-5501 | 2020-10-27 |
| 1134735392 | Meredith Celine Harrington | Physical Medicine & Rehabilitation | 110 Liberty St, Brockton, MA 02301-5674 | 2020-09-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST ROXBURY |
| Zip Code | 02132 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.