Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Maria Heidi De los Reyes Bagongon, PT

Individual provider Physical Therapist · NPI 1003492091

Maria Heidi De los Reyes Bagongon, PT is a Physical Therapist in New York, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

111 Wadsworth Ave
New York, NY 10033-6102
Phone: (212) 740-7400
Fax: (212) 740-7408
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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 041143 (NY)

Record details

NPI number1003492091
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 22, 2021
Last updated in NPPESMarch 22, 2021
Certification dateMarch 22, 2021

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