MRS. MAMTA U BOLADE PT
NPI 1720804339
Physical Therapy Assistant in South Riding, VA

Active since November 27, 2024Accepts Medicare Assignment
24790 MEADOWS FARMS CT, SOUTH RIDING, VA 20152(703) 372-4445(703) 957-3365 Get Directions Write a Review

NPPES record last updated: November 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1720804339
Entity TypeIndividualFemale
Primary Taxonomy225200000X
Provider Legal NameMRS. MAMTA U BOLADECredential: PT
Location Address24790 MEADOWS FARMS CTSouth Riding, VA 20152-3000
Mailing Address25476 Hartland Orchard TerSouth Riding, VA 20152-3268 · (202) 487-0563
Fax(703) 957-3365
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 27, 2024
NPPES CertifiedNovember 27, 2024
✔ NPI 1720804339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225200000X
License✔ Licensed in VA · 2305216674
Definition
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.
24790 MEADOWS FARMS CT, South Riding, VA 20152

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.

PECOS PAC ID3870098601
PECOS Enrollment IDI20250924000036

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.

Physical Therapist
24790 MEADOWS FARMS CT
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.

Specialist/Technologist (Athletic Trainer)
24790 MEADOWS FARMS CT
SOUTH RIDING, VA 20152
Physical Therapist
24790 MEADOWS FARMS CT
SOUTH RIDING, VA 20152
Physical Therapist
24790 MEADOWS FARMS CT
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.