MRS. MAMTA U BOLADE PT
NPI 1720804339
Physical Therapy Assistant in South Riding, VA
About Mrs. Mamta U Bolade Pt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. MAMTA U BOLADE PT (NPI 1720804339) is an individual physical therapy assistant in South Riding, Virginia, licensed in Virginia (2305216674) and active in the NPI registry since November 2024. She is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Mamta U Bolade Pt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mamta Bolade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
South Riding, VA 20152
- Reassigned Medicare billing, Virginia enrollment
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH RIDING, VA 20152
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mamta Bolade's NPI number?
The NPI number for Mamta Bolade is 1720804339. It was assigned to this individual provider in the NPPES registry on November 27, 2024.
Where is Mamta Bolade located?
Mamta Bolade practices at 24790 Meadows Farms Ct, South Riding, VA 20152. The listed phone number is (703) 372-4445.
What is Mamta Bolade's specialty?
The primary specialty registered for this NPI is Physical Therapy Assistant with taxonomy code 225200000X.
Is Mamta Bolade enrolled in Medicare?
Yes. Mamta Bolade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mamta Bolade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mamta Bolade reassigns Medicare benefits to Chiron Physical Therapy Of VA, LLC (South Riding, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mamta Bolade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Mamta Bolade was last updated on November 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.