Provider Demographics
NPI:1134737398
Name:BINNEY, JOANNA RAINE (DPT)
Entity type:Individual
Prefix:DR
First Name:JOANNA
Middle Name:RAINE
Last Name:BINNEY
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 1:105 PINEHURST AVE APT 43
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10033-1853
Mailing Address - Country:US
Mailing Address - Phone:206-779-2221
Mailing Address - Fax:
Practice Address - Street 1:152 W 57TH ST FL 6
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3310
Practice Address - Country:US
Practice Address - Phone:212-799-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-14
Last Update Date:2020-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist