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

Mary T Bogle, PT, DPT

Individual provider Physical Therapist · NPI 1235497462

Mary T Bogle, PT, DPT is a Physical Therapist in Private Practice in New York, New York. Qualified in 2011, 15 years ago. Practices with Beyond Basics Physical Therapy, a 6-clinician group and works from 2 locations. Licensed in New York.

Years since qualifying
15
Licensed in
NY
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

110 E 42nd St Rm 1504
New York, NY 10017
Phone: (212) 354-2622
Fax: (212) 354-2752
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2110 33rd Rd Apt 6d, Long Island City, NY 11106-4217 — (718) 777-3888

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 034504 (NY)

Record details

NPI number1235497462
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorYes
NPI enumeratedApril 25, 2012
Last updated in NPPESJune 27, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Beyond Basics Physical Therapy — 6 clinicians
Accepts Medicare assignment Not indicated

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