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

Individual provider Pediatric Physical Therapist · NPI 1912671116

Bethanny Jolly, PT, DPT is a Pediatric Physical Therapist in Newark, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

131 Drumlin Ct
Newark, NY 14513-1863
Phone: (315) 332-3328
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X · Licence 046256 (NY)

Record details

NPI number1912671116
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedAugust 3, 2021
Last updated in NPPESAugust 3, 2021
Certification dateAugust 3, 2021
Mailing address131 Drumlin Ct, Newark, NY 14513-1863

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