Provider Demographics
NPI:1093152100
Name:BINIARIS, TONYA (DPT)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:BINIARIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5982
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23471-0982
Mailing Address - Country:US
Mailing Address - Phone:757-456-2032
Mailing Address - Fax:757-481-6175
Practice Address - Street 1:762 INDEPENDENCE BLVD STE 772
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6200
Practice Address - Country:US
Practice Address - Phone:757-456-2032
Practice Address - Fax:757-481-6175
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034953225100000X
VA2305208277225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist