Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chonnor Ludolph

Individual provider Physical Therapist · NPI 1669360632

Chonnor Ludolph is a Physical Therapist in Private Practice in Andover, Kansas. Qualified in 2025, 1 year ago. Practices with Advanced PT of Newton, LLC, a 17-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
1
Licensed in
KS
In the registry since
2025
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Practice location Address checks out

338 S Andover Rd Ste 100
Andover, KS 67002-7886
Phone: (316) 348-2766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 11-07942 (KS)

Record details

NPI number1669360632
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address338 S Andover Rd Ste 100, Andover, KS 67002-7886

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Advanced Pt Of Newton, Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Andover