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

MS. Marie Antonette Balderama Bongalonta

Individual provider Physical Therapist · NPI 1346671641

MS. Marie Antonette Balderama Bongalonta is a Physical Therapist in Sunrise, Florida. Practices as a sole proprietor. Licensed in Connecticut, Illinois, Texas and Wisconsin.

Licensed in
CT, IL, TX, WI
In the registry since
2013
Specialties on file
4
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1580 Sawgrass Corporate Pkwy Ste 100
Sunrise, FL 33323-2859
Phone: (312) 608-8211
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1229668 (TX)
Physical Therapist Taxonomy 225100000X · Licence 070020367 (IL)
Physical Therapist Taxonomy 225100000X · Licence 009965 (CT)
Physical Therapist Taxonomy 225100000X · Licence 1258924 (WI)

Record details

NPI number1346671641
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 11, 2013
Last updated in NPPESDecember 11, 2013

Other providers in Sunrise