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

Active since September 29, 2019Accepts Medicare Assignment
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: October 25, 2026.

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

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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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Tydlacka Pt, Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517467632
PECOS Enrollment IDI20250823000296

Medicare Billing Reassignment

Medicare enrollment records show Thomas Tydlacka reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ortholonestar, PLLC
21 mi
Orthopaedic Surgery
7401 MAIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 327 clinicians in this Medicare group
NPI 1942860176 (713) 799-2300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 7

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

MRS. MICHELLE CELESTE REYES PTA
Physical Therapy Assistant
21216 NORTHWEST FWY STE 620
CYPRESS, TX 77429
Harris County (281) 607-4021
WADE NICOLAS KARAM MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
21216 NORTHWEST FWY STE 620
CYPRESS, TX 77429
Harris County (281) 807-4380
DR. BAYLEE BIRKMEYER MD
Family Medicine (Sports Medicine)
21216 NORTHWEST FWY STE 620
CYPRESS, TX 77429
Harris County (281) 807-4380
ORTHOLONESTAR, PLLC
Orthopaedic Surgery
21216 NORTHWEST FWY STE 620
CYPRESS, TX 77429
Harris County (281) 807-4380
DR. RATI VENKATESH D.O.
Family Medicine
21216 NORTHWEST FWY STE 620
CYPRESS, TX 77429
Harris County (281) 469-7704
DR. NICKOLAS BOUTRIS M.D.
Orthopaedic Surgery (Sports Medicine)
21216 NORTHWEST FWY STE 620
CYPRESS, TX 77429
Harris County (281) 807-4380
MR. JORGE ANDRES CORREA PTA
Physical Therapy Assistant
21216 NORTHWEST FWY STE 620
CYPRESS, TX 77429
Harris County (281) 607-4021

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Thomas Tydlacka located?

Thomas Tydlacka practices at 21216 Northwest Fwy Ste 620, Cypress, TX 77429. The listed phone number is (281) 807-4380.

What is Thomas Tydlacka's specialty?

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

Is Thomas Tydlacka enrolled in Medicare?

Yes. Thomas Tydlacka is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Thomas Tydlacka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Tydlacka reassigns Medicare benefits to Ortholonestar, PLLC (Houston, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Thomas Tydlacka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Tydlacka accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 1 other insurer list Thomas Tydlacka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 15 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.