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

Mary Debolt, DPT

Individual provider Physical Therapist · NPI 1649010331

Mary Debolt, DPT is a Physical Therapist in Private Practice in Alexandria, Virginia. Graduated from Virginia Commonwealth University, School of Medicine in 2024, 2 years ago. Practices with Loudoun Medical Group, PC, a 274-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Trained at
Virginia Commonwealth University, School of Medicine
Licensed in
VA
In the registry since
2024
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

6408 Grovedale Dr Ste 102
Alexandria, VA 22310-2596
Phone: (703) 884-8490
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216481 (VA)

Record details

NPI number1649010331
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorYes
NPI enumeratedMay 29, 2024
Last updated in NPPESSeptember 16, 2024
Certification dateSeptember 16, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolVIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Group practice Loudoun Medical Group, Pc — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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