Sri Valli Bolla, DPT - Medicare Physical Therapist in Great Neck, NY

Sri Valli Bolla, DPT is a medicare enrolled "Physical Therapist" provider in Great Neck, New York. Her current practice location is 475 Northern Blvd Ste 11, Great Neck, New York. You can reach out to her office (for appointments etc.) via phone at (516) 829-0030.

Sri Valli Bolla is licensed to practice in New York (license number 045681) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003553751.

Contact Information

Sri Valli Bolla, DPT
475 Northern Blvd Ste 11,
Great Neck, NY 11021-4802
(516) 829-0030
Not Available



Healthcare Provider's Profile

Full NameSri Valli Bolla
GenderFemale
SpecialityPhysical Therapist
Location475 Northern Blvd Ste 11, Great Neck, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1003553751
  • Provider Enumeration Date: 05/15/2022
  • Last Update Date: 02/20/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5991140998
  • Enrollment ID: I20240229002452

Medical Identifiers

Medical identifiers for Sri Valli Bolla such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003553751NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 045681 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sri Valli Bolla allows following entities to bill medicare on her behalf.
Provider NameReddy Care Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1932171097
PECOS PAC ID: 5890685986
Enrollment ID: O20150511000611

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sri Valli Bolla is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sri Valli Bolla, DPT
25 50th St Apt Bsmt,
Weehawken, NJ 07086-7237

Ph: (660) 238-3670
Sri Valli Bolla, DPT
475 Northern Blvd Ste 11,
Great Neck, NY 11021-4802

Ph: (516) 829-0030

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Physical Therapist in Great Neck, NY

Ms. Susan Carol Lenihan, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Meng Liu,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Dr. Joseph Weisberg, PHD PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1 Larch Dr, Great Neck, NY 11021
Phone: 516-482-8016    Fax: 516-482-8016
Sports Pt Of Manhasset
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 225 Community Drive, Suite 10 Sports Physical Therapy Of Manhasset, Great Neck, NY 11021
Phone: 516-829-7639    Fax: 516-829-7352
Angela J Bailey-hardy, PT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 475 Northern Blvd, Suite 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723
Emily Elizabeth Todd, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 475 Northern Blvd Ste 11, Great Neck, NY 11021
Phone: 516-829-0030    Fax: 516-466-7723

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