MISS AMANDA MARY JETTY (NPI# 1376838433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376838433 |
| Entity Type | Individual |
| Full Name | MISS AMANDA MARY JETTY |
| Credential | D.P.T |
| Practice Address |
5424 Discovery Park Blvd Bldg. B /ste. 101 Williamsburg VA 23188 |
| Mailing Address |
860 Omni Blvd Ste 303 Newport News VA 23606-4477 |
| Practice Telephone | 7573452512 |
| Mailing Telephone | 7572328769 |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 2305208434 | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225100000X | Physical Therapist | 13158 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3001 Spring Forest Rd, Raleigh, NC 276162815 | 7045544818 | 7045510659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720390198 | Amanda Rose Jetty | Nurse Practitioner | 301 Prospect Ave, Syracuse, NY 13203-1807 | 2010-07-13 |
| Street Address |
5424 DISCOVERY PARK BLVD BLDG. B /STE. 101 |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104813765 | Richard A Parisi | Internal Medicine | 5424 Discovery Park Blvd, 204, Williamsburg, VA 23188 | 2005-09-29 |
| 1881166312 | John Davis Ireland | Physician Assistant | 5424 Discovery Park Blvd, Williamsburg, VA 23188 | 2018-12-21 |
| 1093050692 | Liza M Buckingham | Audiologist | 5424 Discovery Park Blvd, Suite 201, Williamsburg, VA 23188-2904 | 2012-12-07 |
| 1851644165 | Michelle J Clark | Physical Therapist | 5424 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2904 | 2012-10-24 |
| 1710255013 | Ellen O Winthrop | Physical Therapist | 5424 Discovery Park Blvd, Suite 101, Williamsburg, VA 23188-2904 | 2011-12-01 |
| 1912227471 | Joseph Reza Habibi | Urology | 5424 Discovery Park Blvd, Suite 203, Williamsburg, VA 23188-2904 | 2010-06-08 |
| 1851530851 | Tidewater Physicians Multispecialty Group | Durable Medical Equipment & Medical Supplies | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2862 | 2009-02-13 |
| 1356501068 | Matthew T. Doherty | Radiology | 5424 Discovery Park Blvd, Williamsburg, VA 23188 | 2008-06-16 |
| 1740451251 | Thomas Durbin | Orthopaedic Surgery | 5424 Discovery Park Blvd, Suite 204, Williamsburg, VA 23188-2904 | 2008-03-13 |
| 1376765032 | Kerry Bate | Specialist | 5424 Discovery Park Blvd, Bldg. B Ste. 101, Williamsburg, VA 23188 | 2007-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467061721 | Pt Pros, Inc. | Physical Therapist | 109 N 3rd Street, Williamsburg, KY 40769-1123 | 2020-07-23 |
| 1235779968 | Veronica Maria Sanchez Dorton | Physical Therapist | 640 W Highway 92 Ste 201e, Williamsburg, KY 40769-1936 | 2020-01-10 |
| 1275185217 | Lisa Stoner Williams | Physical Therapist | 428 Mclaws Cir Ste 203, Williamsburg, VA 23185-5654 | 2019-07-10 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1497125744 | Gina Harrison | Physical Therapist | 119 Cooley Rd, Williamsburg, VA 23188-2516 | 2015-09-30 |
| 1740681105 | Carolyn Hahn Campbell | Physical Therapist | 109 Bulifants Blvd Ste B, Williamsburg, VA 23188-5718 | 2014-09-04 |
| 1548687445 | Kristi Kyllonen Mcvey | Physical Therapist | 108 Barley Mill Pl, Williamsburg, VA 23188-7818 | 2014-03-28 |
| 1760815336 | Adam Anthony Zuchara | Physical Therapist | 935 Capitol Landing Rd, Williamsburg, VA 23185-4347 | 2013-08-18 |
| 1952652638 | Karen Lesley Mclean | Physical Therapist | 4211 Westridge Dr, Williamsburg, MI 49690-9331 | 2012-09-21 |
| 1457649741 | Jessica T. Voltin | Physical Therapist | 7151 Richmond Rd Ste 101, Williamsburg, VA 23188-7234 | 2011-07-20 |
| Find all providers in WILLIAMSBURG | ||||
| City | WILLIAMSBURG |
| Zip Code | 23188 |
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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.