THOMAS TYDLACKA PT, DPT
NPI 1114568359
Physical Therapist - Orthopedic in Cypress, TX

Q: What is Thomas Tydlacka's NPI number?

The NPI number for Thomas Tydlacka is 1114568359. It was assigned to this individual provider in the NPPES registry on September 29, 2019.

Q: What is Thomas Tydlacka's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Tydlacka was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 29, 2019

21216 NORTHWEST FWY STE 620, CYPRESS, TX 77429(281) 807-4380(833) 521-2189 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2025, Sep 29, 2019 (2 updates tracked since 2019).

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About Thomas Tydlacka Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS TYDLACKA PT, DPT (NPI 1114568359) is an individual orthopedic provider in Cypress, Texas and active in the NPI registry since September 2019. He is a graduate of Other (2019).

NPPES Registry Identity

NPI1114568359

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameTHOMAS TYDLACKACredential: PT, DPT

Location Address21216 NORTHWEST FWY STE 620Cypress, TX 77429-4699

Mailing Address3023 Marina Bay Dr Ste 105League City, TX 77573-2882 · (713) 943-1100

Phone(281) 807-4380

Fax(833) 521-2189

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 29, 2019

Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration

NPPES CertifiedJuly 11, 2025

✔ NPI 1114568359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

21216 NORTHWEST FWY STE 620, Cypress, TX 77429

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Thomas Tydlacka Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517467632

PECOS Enrollment IDI20250823000296

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WADE NICOLAS KARAM MD

Orthopaedic Surgery (Orthopaedic Surgery of the Spine)