National Provider Identifier
Bethanny Jolly, PT, DPT
Bethanny Jolly, PT, DPT is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Newark, NY and a listed phone number of (315) 332-3328.
Profile Overview
- NPI
- 1912671116
- Provider Type
- Individual
- Primary Specialty
- Pediatric Physical Therapist
- Enumeration Date
- August 03, 2021
- Last Updated
- August 03, 2021
Practice Location
- 131 Drumlin Ct
- Newark, NY 14513-1863
Phone: (315) 332-3328
Specialties
- Pediatric Physical Therapist (2251P0200X)
Full Record
- NPI
- 1912671116
- Entity Type
- Individual
- Last Name
- Jolly
- First Name
- Bethanny
- Credential
- PT, DPT
- Mailing Street Address
- 131 Drumlin Ct
- Mailing City
- Newark
- Mailing State
- NY
- Mailing ZIP Code
- 14513-1863
- Mailing Country
- US
- Practice Street Address
- 131 Drumlin Ct
- Practice City
- Newark
- Practice State
- NY
- Practice ZIP Code
- 14513-1863
- Practice Country
- US
- Practice Phone
- (315) 332-3328
- Enumeration Date
- August 03, 2021
- Last Updated
- August 03, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- August 03, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Physical Therapist (2251P0200X)