Tonya N Bonifer, PT, DPT, CSRS
Individual provider Active NPI Physical Therapist · Scappoose, OR
NPI 1154860682 · NPPES record last updated Jun 12, 2026
Key facts
- NPI
- 1154860682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 62688 (OR)
- Practice address
- PO Box Ae
Scappoose, OR 97056-0700 - Phone
- (615) 604-9121
- NPI assigned
- Feb 16, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05012218A | IN | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 62688 | OR | Yes |
Addresses
Primary practice location
PO Box Ae
Scappoose, OR 97056-0700
Mailing address
PO Box Ae
Scappoose, OR 97056-0700
Phone (615) 604-9121
Other providers in Scappoose, OR
- Tanya Rochelle Bachman
- Leslie K Bagon
- Holly Balsbaugh
- Mary E Bartlett
- Abigail Ruth Blackmore
- Rose Bourgeois
- Dianna Kay Bowlen
- Brave Roots Counseling Center LLC
- Aubrey Bridges
- Teah Lynn Brown
All providers in Scappoose, OR · Physical Therapist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.