Manford E. Anliker

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MANFORD E. ANLIKER

Practice address

113 S Main St
Milton Freewater, OR 97862-1342

Phone

(541) 938-5553

Fax

(541) 938-5554

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Manford E. Anliker, BS PT

Title

Owner/Physical Therapist

Phone

(541) 938-5553

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Blue Mountain Valley Physical Therapy Clinic Doing business as

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710075619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621342",
            "telephone_number": "541-938-5553",
            "fax_number": "541-938-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "MILTON FREEWATER",
            "state": "OR",
            "postal_code": "978621342",
            "telephone_number": "541-938-5553",
            "fax_number": "541-938-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANFORD E. ANLIKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANLIKER",
        "authorized_official_first_name": "MANFORD",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "541-938-5553",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7312507",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281923",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Mountain Valley Physical Therapy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alvin J Lan
• Karla Kristine Lane, MA
• Thomas Scott Linner, DPT
• Carmen Marie Madsen
• Divine Mansiba Maganto
• Chelsie Lynn Martuscelli, CRM
• Naomi Marie Matteson
• Heidi Jo Mayberry, LMT
• Jonathan Paul Mayberry, DPT
• Julie Medrano, CADCII,NCGCII,CGACII

• Physical Therapist in Milton Freewater, OR
• Providers in Milton Freewater, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.