Marilyn Miller Vonfoerster, P.T., M.A.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2190 Issued in OR

Practice address

577 Bonnie CT NW
Salem, OR 97304-3208

Phone

(503) 365-7554

Fax

(503) 364-4872

NPI assigned

Feb 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Marilyn Ida Miller Former name

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Duke University School of Medicine, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1518092964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 BONNIE CT NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043208",
            "telephone_number": "503-365-7554",
            "fax_number": "503-364-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 BONNIE CT NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043208",
            "telephone_number": "503-365-7554",
            "fax_number": "503-364-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONFOERSTER",
        "first_name": "MARILYN",
        "middle_name": "MILLER",
        "credential": "P.T., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "2190",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "5435",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUECROSS BLUESHI",
            "identifier": "030172000",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182439",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FC65, MEDICARE ADVANTAGE",
            "identifier": "3203119-01",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "MILLER",
            "middle_name": "IDA",
            "credential": "M.A., P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Leisha Vogl, CCC-SLP
• Whitney Anne Voigt, LCSW
• Michael Edward Vollmar, DMD
• Elijah Volvovic
• Michael John Vondette, CRM
• Madison Jo Voorhies
• Suzanne Rowan Vorachek, LMT
• Stephen Walker Voris, M.S.W.
• Wesley Vorpahl, OD
• Jennifer Voss, LCSW

• Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.