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

Mrs. Mamta U Bolade, PT

Individual provider Physical Therapy Assistant · NPI 1720804339

Mrs. Mamta U Bolade, PT is a Physical Therapist in Private Practice in South Riding, Virginia. Qualified in 2021, 5 years ago. Practices with Chiron Physical Therapy of VA, LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

See every abbreviation used in this directory →

Practice location Address checks out

24790 Meadows Farms Ct
South Riding, VA 20152-3000
Phone: (703) 372-4445
Fax: (703) 957-3365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2305216674 (VA)

Record details

NPI number1720804339
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedNovember 27, 2024
Last updated in NPPESNovember 27, 2024
Certification dateNovember 27, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Chiron Physical Therapy Of Va, Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount