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Active NPI 1376838433 Individual Practitioner Female Practitioner

Dr. Amanda Mary Jetty , DPT

Physical Therapist • Williamsburg, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Jetty, DPT is a certified Physical Therapist practicing in Williamsburg, VA. With approximately 15 years of clinical experience since completing medical education in 2011, Dr. Jetty delivers high-quality medical care to the local community at 5424 DISCOVERY PARK BLVD.

Dr. Jetty is affiliated with Tidewater Physicians Multispecialty Group, Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5424 Discovery Park Blvd
Bldg. B /ste. 101

Williamsburg, VA 23188

Telephone 7573452512
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Williamsburg, VA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
15 Yrs -1.0 yrs vs City Avg
City Avg: 16.0 Yrs
State Avg: 14.9 Yrs
Regional Practice Density
87 Specialists

Practicing in Williamsburg, VA (6959 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Jetty (15 Years) 15 Yrs
Williamsburg Specialty Average (16.0 Years) 16.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97530 Therapy procedure using functional activities
1,768 203 $81.00 $31.46
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
1,682 207 $76.00 $20.11
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
924 170 $78.00 $22.80
97161 Evaluation of physical therapy, typically 20 minutes
165 148 $202.00 $97.27
97016 Application of blood vessel compression device
133 17 $43.00 $7.93
97140 Therapy procedure using manual technique, each 15 minutes
79 33 $80.00 $18.36

Medical Specialties & State Licenses

CMS Verified: 2025-07-03
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License VA 2305208434

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

Tidewater Physicians Multispecialty Group, Pc

860 Omni Blvd, Newport News, VA 236064430

Secondary Practice Locations

3001 Spring Forest Rd

Raleigh, NC 276162815

Phone: 7045544818

3001 Spring Forest Rd

Raleigh, NC 276162815

Phone: 7045544818

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Mackenzie Dumphy

Physical Therapist

NPI 1235978172
Ellen Winthrop , PT

Physical Therapist

NPI 1710255013

Physical Therapist

NPI 1821818543

Doctor of Physical Therapy

Dr. Michelle Clark , DPT

Physical Therapist

NPI 1851644165

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 18, 2019

Registered at 5424 DISCOVERY PARK BLVD, BLDG. B /STE. 101, WILLIAMSBURG, VA 23188 (Tel: 7573452512)

📍
Updated Business Mailing Address June 18, 2019

Registered at 860 OMNI BLVD STE 303, NEWPORT NEWS, VA 236064477 (Tel: 7572328769)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2019

Physical Therapist (License #2305208434 in VA)

NPI Profile Active June 16, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2011

Registered at 3001 SPRING FOREST RD, RALEIGH, NC 276162815 (Tel: 7045544818)

📍
Updated Business Mailing Address June 16, 2011

Registered at 5100 SHARON RD, CHARLOTTE, NC 282104768

👤
Provider Name / Credentials Updated June 16, 2011

Recorded as AMANDA JETTY, D.P.T

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2011

Physical Therapist (License #13158 in NC)

🟢
Initial NPI Registration & Enumeration June 16, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376838433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2011
Last Update: July 03, 2025
Sole Proprietor: No

Mailing Address

860 Omni Blvd Ste 303

Newport News, VA 236064477

Phone: 7572328769

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.