Individual provider Active NPI

Anthony Rademacher Morris, DC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1457245458
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6457 Issued in OR
Practice address
11507 SW Shilo LN Ste E
Portland, OR 97225-5923
Phone
(503) 643-2225
Fax
(503) 520-0514
NPI assigned
Jun 4, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6457 OR Primary

Addresses

Primary practice location

11507 SW Shilo LN Ste E
Portland, OR 97225-5923

Mailing address

11507 SW Shilo LN Ste E
Portland, OR 97225-5923
Phone (503) 643-2225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250624003583 OR Practitioner - Chiropractic 6608388780 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6457ORMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Laura a Swingen DC PC Chiropractor CurrentSince Jun 11, 2025 Accepting new patients
Advance Injury Care and Movement Therapy LLC PastSince Jun 8, 2025 Accepting new patients

Locations

11507 SW Shilo Ln
Ste E
Portland, OR 97225
Phone (503) 643-2225

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1457245458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11507 SW SHILO LN STE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255923",
            "telephone_number": "503-643-2225",
            "fax_number": "503-520-0514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11507 SW SHILO LN STE E",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255923",
            "telephone_number": "503-643-2225",
            "fax_number": "503-520-0514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADEMACHER MORRIS",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.