Robert O Clifton, PHYSICAL THERAPIST

Individual provider Active NPI Orthopedic Physical Therapist · Topeka, KS

NPI 1689614745 · NPPES record last updated Aug 28, 2011

Key facts

NPI
1689614745
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
11-01433 (KS)
Practice address
601 SW Corporate VW
Suite 220
Topeka, KS 66615-1244
Phone
(785) 228-6100
Fax
(785) 228-6101
NPI assigned
Jun 7, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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)
Yes

State licenses

LicenseStateTypeSpecialty
11-01433KSMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tallgrass General, Vascular & Thoracic Surgery Past Accepting new patients
Key Rehabilitation, Inc Past Accepting new patients
Rebound Physical Therapy Inc. Physical Therapist Past
since Apr 1, 2005
Accepting new patients
Interactive Physical Therapy LLC Physical Therapist Past Accepting new patients
Rebound Physical Therapy at Wood Valley Physical Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11-01433 KS
Sports Physical Therapist 2251S0007X 11-01433 KS
Orthopedic Physical Therapist 2251X0800X 11-01433 KS Yes

Addresses

Primary practice location

601 SW Corporate VW
Suite 220
Topeka, KS 66615-1244

Mailing address

601 SW Corporate VW
Suite 220
Topeka, KS 66615-1244
Phone (785) 228-6100

Other identifiers

IdentifierTypeStateIssuer
4887696801MedicaidKS

Other providers in Topeka, KS

All providers in Topeka, KS · Orthopedic Physical Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.