Individual provider Active NPI

Andrew Joel Clifford, PT

  • Physical Therapist
  • Derby, KS
National Provider Identifier
1629415468
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11-04717 Issued in KS
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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
11-04717KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-04717 KS Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.