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

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