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

Miss. Amanda Mary Jetty, DPT

Individual provider Physical Therapist · NPI 1376838433

Miss. Amanda Mary Jetty, DPT is a Physical Therapist in Private Practice in Williamsburg, Virginia. Qualified in 2011, 15 years ago. Practices with Tidewater Physicians Multispecialty Group, PC, a 269-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
15
Licensed in
VA
In the registry since
2011
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5424 Discovery Park Blvd Bldg B /ste 101
Williamsburg, VA 23188
Phone: (757) 345-2512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3001 Spring Forest Rd, Raleigh, NC 27616-2815 — (704) 554-4818
  • 3001 Spring Forest Rd, Raleigh, NC 27616-2815 — (704) 554-4818

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305208434 (VA)

Record details

NPI number1376838433
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 16, 2011
Last updated in NPPESJuly 3, 2025
Certification dateJuly 3, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Tidewater Physicians Multispecialty Group, Pc — 269 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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