Active NPI
Andrew Joel Clifford, PT
- Physical Therapist
- Derby, KS
National Provider Identifier
1629415468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11-04717
- Practice address
- 234 W Greenway St
Derby, KS 67037-2641 - Phone
- (316) 788-6734
- Fax
- (316) 788-4529
- NPI assigned
- Jun 3, 2013
- Sex
- Male
- Sole proprietor
- No
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.
-
- Physical Therapy Clinic/Center
- Derby, KS
- NPI 1952306938
NPD (past) PHYSICAL THERAPIST -
- Physical Therapist
- Glen Burnie, MD
- NPI 1134307598
NPD (past) PHYSICAL THERAPIST
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 |
|---|---|---|---|
| 11-04717 | KS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novacare Outpatient Rehabilitation Inc | Physical Therapist | Past | Accepting new patients |
| Novacare | Physical Therapist | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-04717 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
234 W Greenway St
Derby, KS 67037-2641
Mailing address
1400 S Kansas Ave Ste 1200
Newton, KS 67114-5305
Phone (316) 677-8877
Other practice location 1
1400 S Kansas Ave Ste 1200
Newton, KS 67114-5305
Phone (316) 677-8877
Other practice location 2
2135 N Ridge Rd Ste 100
Wichita, KS 67212-1411
Phone (316) 722-1645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 23, 2026.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1629415468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S KANSAS AVE STE 1200",
"city": "NEWTON",
"state": "KS",
"postal_code": "671145305",
"telephone_number": "316-677-8877",
"fax_number": "316-333-2407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 W GREENWAY ST",
"city": "DERBY",
"state": "KS",
"postal_code": "670372641",
"telephone_number": "316-788-6734",
"fax_number": "316-788-4529"
}
],
"practiceLocations": [
{
"address_1": "1400 S Kansas Ave Ste 1200",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "KS",
"postal_code": "671145305",
"country_code": "US",
"telephone_number": "316-677-8877",
"fax_number": "316-333-2407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2135 N Ridge Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672121411",
"country_code": "US",
"telephone_number": "316-722-1645",
"fax_number": "316-722-4695",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CLIFFORD",
"first_name": "ANDREW",
"middle_name": "JOEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-03",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KS",
"license": "11-04717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Derby, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.