Provider Demographics
NPI:1689614745
Name:CLIFTON, ROBERT O (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:O
Last Name:CLIFTON
Suffix:
Gender:M
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Mailing Address - Street 1:601 SW CORPORATE VW
Mailing Address - Street 2:SUITE 220
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66615-1244
Mailing Address - Country:US
Mailing Address - Phone:785-228-6100
Mailing Address - Fax:785-228-6101
Practice Address - Street 1:601 SW CORPORATE VW
Practice Address - Street 2:SUITE 220
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66615-1244
Practice Address - Country:US
Practice Address - Phone:785-228-6100
Practice Address - Fax:785-228-6101
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2011-08-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KS11-01433225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS4887696801Medicaid
KS140534Medicare ID - Type Unspecified
KSP00013353Medicare PIN
KS140534Medicare PIN
KS4887696801Medicaid